Outpatient Referral Form

Return to work forms are becoming increasingly prevalent among employers transitioning back to the office, especially with companies requiring proof of vaccination status and taking COVID precautions. In some instances, employees can claim vaccine exemption based on local and state laws. <br/> <br/> Types of Medical Exemptions: <ul> <li>Documentation from a healthcare provider</li> <li>Religious self-proclaimed</li> </ul> Employees claiming vaccination exemption can submit proof of a negative test on a regular basis as requested by the employer within this form template.