The Return To Work Medical Certificate is a vital document in New Zealand's workplace health and safety framework, designed to facilitate the safe and effective return of employees to work following medical absence. This document is required when an employee needs to resume work after a significant illness, injury, or medical condition, whether work-related or not. It must comply with various New Zealand legislation, including the Health and Safety at Work Act 2015, Privacy Act 2020, and ACC requirements. The certificate provides crucial information about an employee's work capacity, any required workplace modifications, and specific medical recommendations, while maintaining appropriate medical privacy. It serves as a key tool for risk management and ensuring duty of care obligations are met by both medical practitioners and employers.
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1. Medical Practitioner Details: Full name, registration number, practice details and contact information of the certifying medical practitioner
2. Patient Information: Employee's full name, date of birth, and relevant identification details
3. Consultation Details: Date of examination and whether it's an initial or follow-up assessment
4. Diagnosis/Condition: Brief description of the medical condition or injury affecting work capacity (with patient consent)
5. Work Capacity Assessment: Clear statement of whether the employee is fit for normal duties, modified duties, or unfit for work
6. Duration: Specific period for which the certificate applies, including start and end dates
7. Work Modifications: Specific workplace restrictions or modifications required (if applicable)
8. Next Review: Date of next medical review if required
9. Declaration: Medical practitioner's declaration and signature confirming the assessment
1. Treatment Plan: Overview of ongoing treatment requirements - include when there's an active treatment plan that may affect work arrangements
2. Workplace Hazards: Specific workplace hazards that need to be avoided - include when there are specific environmental or task-related risks
3. Hours Restriction: Detailed breakdown of recommended working hours - include when graduated return to work is recommended
4. ACC Information: ACC claim number and details - include when the return to work is related to an ACC claim
5. Specialist Referral: Details of any specialist referrals - include when ongoing specialist care is required
1. Physical Capacity Evaluation: Detailed assessment of physical capabilities and limitations
2. Graduated Return to Work Plan: Week-by-week breakdown of increased work hours or duties
3. Required Workplace Modifications: Detailed list of specific workplace modifications or equipment needed
4. Follow-up Appointment Schedule: Timeline of planned follow-up medical assessments
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