This structured Return to Work Plan template helps employers, consultants, and workers coordinate a safe, timely return after injury or illness. Capture pre-injury role and schedule, injury type, affected body parts, and likely cause. Record medical restrictions and current capacity from the treating practitioner, then define suitable duties, adjusted hours, and workplace modifications. Document client support, alternative duties, upcoming treatments, and recovery timelines. Include notes from consultations with the worker and practitioner, address concerns, and outline actions. The plan concludes with acknowledgments from the worker, consultant, and client supervisor to confirm responsibilities and commitment.
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