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Ten Moments That Basically Sum Up Your Physician Return To Work Form Experience | Physician Return To Work Form

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When workers acknowledgment from analysis for drug- and alcohol-related issues that abandoned drug- and alcohol-related abode policies, you may appetite to accept them assurance an acceding analogue the expectations affecting both the employer and the worker, as able-bodied any after-effects for actionable the agreement.

This sample return-to-work acceding is acclimatized from one able by the U.S. Department of Labor.

This return-to-work acceding is amid (company name) (the employer) and (employee name) (the employee). This acceding is all-important because the agent has abandoned a assignment aphorism that could aftereffect in termination: (list the assignment rule/rules violated)

The agent has accustomed a archetype of the employer’s drug- and alcohol-free abode action and understands all of the accoutrement of the policy. The agent agrees to accept by its provisions.

The agent has voluntarily active a absolution acceptance the employer to accept advice from medical professionals apropos the employee’s continuing affliction recommendations and compliance. The agent agrees to accept by all of the medical professionals’ recommendations. The agent will certificate binding appearance at accessories and added adapted appearances. The agent understands and agrees that the employer will adviser acquiescence with the medical professionals’ recommendations. The agent agrees to be accountable to unannounced aftereffect testing for a aeon of (list time period).

The agent agrees to abjure from the use of all booze and added drugs except as assigned by a physician who is acquainted of the employee’s history of actuality abuse.

The agent agrees that any costs for analysis and ecology that are not covered by the employer’s allowance plan are the albatross of the employee.

If the agent charge absence assignment to appear adapted appointments, the absent assignment time will be advised as ancestors and medical leave, ailing leave, vacation, or claimed leave as accessible and appropriate.

The agent understands this is a “last chance” to auspiciously accede with the employer’s drug- and alcohol-free abode policy. The agent understands that abortion to absolutely accede with this acceding will aftereffect in actual termination.

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