MEDICAL lEAVE REQUEST pROCESS
1. Complete Leave Request Form
Employee submits a request for leave by completing the Leave Request Form
Leave request form is signed and acknowledged by supervisor and HR
2. Submit Medical Certification
- Employee and their healthcare provider complete the appropriate medical certification form within 15 days of request:
- Employee or healthcare provider submits completed forms to HR via fax at 424-543-8609 or email to HR@heal.com
- For FMLA, HR will email a copy of the employees’ rights and responsibilities under FMLA
3. HR Review
Human resources reviews request and any other provided documentation
Human Resources emails approval or denial of leave to the Employee and Manager
4. Employee on Leave
If approved, Employee goes out on leave
Employee maintains communication with HR (HR@heal.com), if there are any changes to condition or expected return date.
5. Return from Leave
If an employee was on leave for their own serious medical condition:
- Employee’s health care provider sends Return to Work Certificate from to HR via fax at 424-543-8609 or email to HR@heal.com.
- This must be completed and received by HR prior to returning to work
- HR contacts Manager regarding return-to-work status