[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-162514-105":53,"doc-detail-162514-en":118},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":111,"head_meta":113,"extra_data":115,"updated_unix":117},105,"en","covid-19-notes-for-employers-medical-return-to-work-templates","COVID-19 Notes for Employers - Medical Return-to-Work Templates","","Employers receive printable physician/provider certification templates to support COVID-19-related return-to-work decisions. Forms cover multiple clinical situations, including patients potentially contagious who must stay home for 14 days, symptom tracking for those without testing, and work clearance for medically confirmed cases. Additional templates address confirmed infection with either resolving symptoms and two negative tests or confirmed infection with no symptoms after defined time periods. Each template includes patient identification, physician contact details, signature, and an effective return date.",{"@graph":63,"@context":110},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/covid-19-notes-for-employers-medical-return-to-work-templates/162514/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/covid-19-notes-for-employers-medical-return-to-work-templates/162514.png","ImageObject",442,249,{"name":88,"@type":89},"Nguyễn Văn Học","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-20","2026-08-30",true,{"@type":98,"interactionType":99,"userInteractionCount":73},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104],{"name":105,"@type":106,"acceptedAnswer":107},"When can an employee return to work according to TEMPLATE 3 and TEMPLATE 4?","Question",{"text":108,"@type":109},"TEMPLATE 3 requires medically confirmed COVID-19 with fever resolved, respiratory symptoms resolved, and two negative COVID-19 tests, plus a fit-for-duty certification with an effective return date. TEMPLATE 4 requires at least 7 days since the first positive lab test, no signs of illness, and no subsequent illness, also with an effective return date.","Answer","https://schema.org",{"og:url":78,"og:type":112,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":114,"canonical":78},"index,follow",{"doc_id":116,"site_id":56},162514,1788126157,{"code":4,"msg":5,"data":119},{"doc_id":116,"user_id":120,"nickname":88,"user_avatar":121,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":122,"file_id":123,"file_url":124,"file_type":125,"file_size":126,"view_count":73,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":127,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":128,"faqs":129,"seo_title":130,"seo_description":61,"update_tm":117,"read_time":73},1374402739827,"https://ap-avatar.wpscdn.com/avatar/14000c97e7351f1a627?x-image-process=image/resize,m_fixed,w_180,h_180&k=1787885694763230660","Insert Practice Information\nTEMPLATE #1A-POSSIBLY CONTAGIOUS\nPatient Name:_________________________________________________________________________\nTo whom it may concern,\nThis certifies that the patient has been under our care for the symptoms potentially associated with COVID-19 and has been directed to stay home for 14 days since onset of the symptoms which may be contagious.\nThank you for your understanding.\nSincerely,\nPhysician/Provider name: _____________________________________Phone Number:_______________\nPhysician/Provider signature: __________________________________________Date:________________\n\u000f\nInsert Practice Information\nTEMPLATE #1B-POSSIBLY CONTAGIOUS\nPatient Name:_________________________________________________________________________\nTo whom it may concern,\nThis certifies that the patient has been under our care for the symptoms below and has been directed to stay home for 14 days since onset of the following symptoms which may be contagious. Symptoms of concern are:\n(  ) Fever\u000b(  ) Cough\u000b(  ) Shortness of Breath\u000b(  ) Body Aches\u000b(  ) Fatigue\n(  ) Vomiting\n(  ) Diarrhea\nThank you for your understanding.\nSincerely,\nPhysician/Provider name: ____________________________________Phone Number:_______________\nPhysician/Provider signature: ________________________________________Date:________________\n\u000f\nInsert Practice Information\nTEMPLATE #2 - SYMPTOMS WITHOUT TESTING\nPatient name _________________________________________________________ attests that\nThe patient had a fever and a cough without COVID-19 testing or medical care, and that\nThree days have passed since their recovery, fever has resolved without the use of fever-reducing medication and their respiratory symptoms have improved; and that\nAt least seven days have passed since the patient first experienced symptoms; and the patient\u000b     notified physician/provider\nSincerely,\nPhysician/Provider name: ____________________________________Phone Number:_______________\nPhysician/Provider signature: ________________________________________Date:________________\n\u000f\nInsert Practice Information\nTEMPLATE #3- CONFIRMED AND SHOWING SYMPTOMS\nPatient name ___________________________________________________________________\nWas medically confirmed to have COVID-19 and can now return to work since\nTheir fever has been resolved without the use of fever-reducing medications;\nTheir respiratory symptoms have resolved and\nThey have had two negative COVID-19 tests.\nI certify that, with regard to COVID-19 the above-named patient  is fit for duty and able to resume work effective_________________.\nSincerely,\nPhysician/Provider name: ______________________________Phone Number:_______________\nPhysician/Provider signature: ___________________________________Date:________________\n\u000f\nInsert Practice Information\nTEMPLATE #4- CONFIRMED WITH NO SYMPTOMS\nPatient name ____________________________________________________________________\nWas medically confirmed to have COVID-19 and can now return to work since\n7 days have passed since the date of their first positive COVID-19 laboratory test and;\nThe patient is not showing signs of illness and\nThe patient has had no subsequent illness\nI certify that, with regard to COVID-19 the employee is fit for duty and able to resume work effective_________________.\nSincerely,\nPhysician/Provider name: ______________________________Phone Number:_______________\nPhysician/Provider signature: ___________________________________Date:________________","cbCaiiKi3l1GsySZ","https://ap.wps.com/l/cbCaiiKi3l1GsySZ","docx",22554,"English","# TEMPLATE 1A-POSSIBLY CONTAGIOUS\n# TEMPLATE 1B-POSSIBLY CONTAGIOUS\n# TEMPLATE 2 - SYMPTOMS WITHOUT TESTING\n# TEMPLATE 3- CONFIRMED AND SHOWING SYMPTOMS\n# TEMPLATE 4- CONFIRMED WITH NO SYMPTOMS","[{\"question\":\"When can an employee return to work according to TEMPLATE 3 and TEMPLATE 4?\",\"answer\":\"TEMPLATE 3 requires medically confirmed COVID-19 with fever resolved, respiratory symptoms resolved, and two negative COVID-19 tests, plus a fit-for-duty certification with an effective return date. TEMPLATE 4 requires at least 7 days since the first positive lab test, no signs of illness, and no subsequent illness, also with an effective return date.\"}]","COVID-19 Notes for Employers - Medical Return-to-Work Templates | DOCX"]