Free Referral for Specialist Medical Opinion Template – Access Now

This form is essential when:

• An employee has suffered a workplace injury and needs a work capacity assessment.

• A worker is returning after a long illness and may require job modifications.

• An employee requests accommodations due to a medical condition.

• A job transfer involves new physical demands that require medical clearance.

• Employers concerned about an employee’s ability to perform job duties.

• Primary care physicians or treating doctors who need a specialist’s opinion.