Title Page
-
Call the employee to determine "why" they haven't returned to work yet.
-
Location
-
Prepared by
-
Employee
-
Week Beginning
You've been out of work since ________. How are you feeling?
-
Monday
-
Tuesday
-
Wednesday
-
Thursday
-
Friday
-
Attachments
Are you still experiencing symptoms of the virus?
-
Monday
-
Tuesday
-
Wednesday
-
Thursday
-
Friday
-
Attachments
Do you have any additional follow appointments?
-
If yes, record the date. If date has passed or is today, ask when they plan to return to work?
-
Monday
-
Tuesday
-
Wednesday
-
Thursday
-
Friday
-
Attachments
Do you have a return to work date?
-
If Yes, "Will you be returning to work on that date"?
If No, "Can you please check with your doctor to determine a return to work date"?
Set a reminder for yourself to follow up with the employee on work return. -
Monday
-
Tuesday
-
Wednesday
-
Thursday
-
Friday
-
Attachments
Question 5
-
Set up a follow-up call to get a return to work date.
