Occupational Health Referral

A referral to the Occupational Health Adviser should be in writing and include details of:

• the stated length of absence
• the reason(s) for absence
• any factors (work-related or otherwise) that cause or aggravate the absence(s)
• any previous absences
• any action taken by the manager to assist the employee
• details of the job and workplace
• notes of any meetings or conversations with the employee
• whether the manager and/or employee thinks that any adjustments to the workplace, duties or hours may assist the employee and facilitate a return to work and/or reduce absences.
• NOTE: a copy of the completed Referral Form should be given to the member of staff.  Members of staff have access to their Occupational Health record.

• Occupational Health Referral Form