Template: Letter to Medical Professional & Employee Consent Form
$100.00
Do you need to gather more information from your employee’s medical professional?
If an employee’s health is impacting their ability to perform their duties, you can ask them to consent to an independent medical assessment. If the employee agrees this, you can use the medical assessment to get a better understanding of their fitness for work, prospects or timeframes for returning to their full duties, and recommendations for accommodations at work to support their recovery and wellbeing. In some instances, an assessment may be used to determine if dismissal for medical incapacity may be considered.
This template pack includes:
- Employee consent for medical information (to be provided to employee)
- Letter to medical professional (to be provided to medical professional)
Updated August 2025
Need more information or guidance around managing employees whose health is impacting their work performance? Do not hesitate to email us at [email protected] or give our Advice Service a call on 0800 472 472 (or 1800 128 086 from Australia).
Retail NZ members: FREE
Non-members: $100.00











