[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-307105-105":53,"doc-detail-307105-en":127},{"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":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","medical-form-template-thompson-rivers-university-career-and-experiential-learning","Medical Form Template - Thompson Rivers University - Career and Experiential Learning","","This document provides a formal medical assessment template used by the Career and Experiential Learning department at Thompson Rivers University. The form is designed to document specific medical conditions, injuries, or disabilities that necessitate workplace adaptations. It includes fields for classifying the duration of the condition—whether permanent, temporary, chronic, or episodic—and provides space for detailing specific functional impacts and recommended adjustments. This tool serves as an essential administrative resource for facilitating professional accommodation requests, ensuring that both the individual’s health requirements and workplace duties are clearly articulated. The template also incorporates sections for additional relevant medical information and includes a space for an official address or office stamp, ensuring professional verification of the provided information. This structured approach helps streamline the communication between medical practitioners, students, and employers regarding workplace accessibility.",{"@graph":63,"@context":119},[64,80,102],{"@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":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/medical-form-template-thompson-rivers-university-career-and-experiential-learning/307105/",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/medical-form-template-thompson-rivers-university-career-and-experiential-learning/307105.png","ImageObject",442,249,{"name":88,"@type":89},"Rizky","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the purpose of this medical form?","Question",{"text":109,"@type":110},"This form is used to document a medical condition, injury, or disability that requires specific workplace adaptations for an individual.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How are medical conditions classified in this template?",{"text":114,"@type":110},"The form allows a condition to be classified as permanent, temporary, chronic, or episodic.",{"name":116,"@type":107,"acceptedAnswer":117},"What information is required beyond the diagnosis?",{"text":118,"@type":110},"The form includes sections to identify specific impacts of the condition, necessary workplace adaptations, and an optional field for additional medical details.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},307105,1790863321,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},962085564807,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Medical Form Template  \nDue to a diagnosed medical condition, injury and/or disability   will require workplace adaptations for the following impacts (check all that apply):  \nThe diagnosis is:  Permanent  \nAddi􀆟onal informa􀆟on (op􀆟onal):  \nOther impacts:  \nTemporary  \nChronic  \nEpisodic  \nThe following workplace adaptations are recommended (check all that apply):  \nAddress/O ce Stamp:","cbCaivyhyLEpy5t5","https://ap.wps.com/l/cbCaivyhyLEpy5t5","pdf",1910813,"English","# Medical Assessment and Adaptation Form\n## Diagnosis and Duration Classification\n## Impact and Workplace Adaptation Requirements\n## Official Office Verification","[{\"question\":\"What is the purpose of this medical form?\",\"answer\":\"This form is used to document a medical condition, injury, or disability that requires specific workplace adaptations for an individual.\"},{\"question\":\"How are medical conditions classified in this template?\",\"answer\":\"The form allows a condition to be classified as permanent, temporary, chronic, or episodic.\"},{\"question\":\"What information is required beyond the diagnosis?\",\"answer\":\"The form includes sections to identify specific impacts of the condition, necessary workplace adaptations, and an optional field for additional medical details.\"}]","Medical Form Template - Thompson Rivers University - Career and Experiential Learning | PDF",1789844148]