Employee Medical Report



Employee Medical Report

 Employee Medical Status Report

Name               :   Danny Hopkins
Date of Birth     :   12/27/1986
Employee ID      :   882345
Position            :   Cook
Diagnosis          :   HNP
Treatment Rendered and Response :

Analgesia and Multivitamin


Medication required on a daily basis if any :

None


Mandatory Discharge Information : ded

Is Employee fit for duty ?    Yes  .......        No .......

What restrictions if any ? Duration of restrictions & specific limits eg : time, weight etc. :

None





Maximum Medical Improvement : Yes .....    No .......

The definition of Maximum Medical Cures as follows : The accepted legal standard holds that maximum cure is achieved when it appears probable that further treatment will result in no betterment of the employee's condition. Thus, where it appears that the employee's condition is incurable or that future treatment mill merely relieve pain and suffering but no otherwise improve the employee's physical condition, It is proper to declare that the point of maximum cure has been achieved.

Date                             : .................................

Physician's Signature       : .................................

Physician's Name(Print)    : ..................................

Other Business Letters

  • Acceptance Letter Samples
  • Acknowledgement of Receipt of Goods
  • Admission Letter Samples 
  • Adjustment Letter Samples
  • Agreement Letter Samples
  • Announcement Letter Samples
  • Apology Letter Samples
  • Appeal Letter Samples
  • Application Letter Samples
  • Appreciation Letter Samples
  • Appointment Letter Samples
  • Approval Letter Samples
  • Assignment Letter Samples
  • Authorization Letter Samples
  • Bill of Sale Samples
  • Booking Letter Samples
  • Cancellation Letter Samples
  • Christmas Letter Samples
  • Circular Letter Sample
  • Collection Letter Sample
  • Complaint Letter Samples
  • Compliment Letter Samples
  • Condolence Letter Sample
  • Confirmation Letter Samples
  • Congratulation Letter Sample
  • Consent Letter Samples
  • Correction Letter Sample
  • Debt Letter Samples
  • Delivery Order Samples
  • Demand Letter Sample
  • Dispute Letter Sample
  • Donation Letter Sample
  • Employment Letter Sample
  • Employee Medical Report
  • Endorsement Letter Samples
  • Explanation Letter Samples
  • Farewell Letter Samples
  • Friendship Letter Sample
  • Fundraising Letter Samples
  • Guarantee Letter Samples
  • Illness Letter
  • Inquiry Letter Samples
  • Introduction Letter Samples
  •  Invitation Letter Samples
  •  Invoice
  •  Letter of Intent Samples
  •  Marketing Letter Samples
  • Memorandum Samples
  • Motivation Letter Samples
  • Notification Letter Sample
  • Offer Letter Samples
  • Order Letter Sample
  • Overdue Payment Reminder
  • Press Release Samples
  • Promotion Letter Samples
  • Proposal Letter Sample
  • Recommendation Letter Samples
  • Reference Letter Samples
  • Rejection Letter Samples
  • Reprimand Letter Samples
  • Request Letter Samples
  • Resignation Letter Samples
  • Resume Templates
  • Retirement Letter
  • Salary Increase Letter Sample
  • Sales Letter Samples
  • Sick Leave Letter
  • Termination Letter Samples
  • Thank You Letter Samples
  • Warning Letter Sample
  • Welcome Letter Sample

  •   Facebook Twitter More...

    ĉ
    Aji Sutarmaji,
    Apr 14, 2014, 1:19 AM