Medical Return to Work or School Form

Form Template

The Medical Return to Work or School Form mobile app app helps physicians, nurse practitioners and physicians assistants quickly write up a doctor's note for patients to return to work or school.

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Human resources can require the app as part of a companies return-to-work program to allow health care providers verify sick leave, compensatory time, a medical leave of absence, maternity leave, doctors excuse, medical certification of a medical condition, work-related injury or on-the-job injury, workers compensation benefits and work restrictions. Students are allowed a set number of sick leave days per a semester's calendar days. Use the app in the event that medical verification is required to excuse absences and also return to school.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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