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Return To Work Medical Evaluation Letter

Use this form letter when returning to work from a medical leave that requires documentation.








Return To Work Medical Evaluation Letter


[Your Name]
[Address]
[City, State, Zip]


[Date of letter]

[Recipient's Name]
[Title]
[Company Name]
[Address]
[City, State, Zip]


Dear [Recipient's name],

I am hereby notifying you of my intention to return to work on [xx/xx/xxxx]. I will be providing you with my medical release records from my health care provider.

Please feel free to contact me with any questions you may have regarding my return to work along with any other documents that the company may require.


Best regards,

[Your Signature]





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