Section 3 – Case Management
Disability Case Management
Concordia Hospital – Site Specific Package
- Manager to OESH Referral Form – This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
- Employee Return to Work Package – includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
- Handout Only – Employee Responsibilities CH
- Form Only – Modified Duty Form – CH
Corporate and Community – WRHA Specific Package
- Manager to OESH Referral Form – This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
- Employee Return to Work Package – includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
- Handout Only – Employee Responsibilities WRHA CC
- Form Only – Modified Duty Form – WRHA CC
Deer Lodge Centre – Site Specific Package
Please note that Deer Lodge Centre is currently participating in a Lean Project. The following forms are part of the DLC Lean Pilot Project regarding the Return to Work Process.
- Manager to OESH Referral Form – This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
- Employee Return to Work Package – includes Time Sensitive Actions for You, Planning a Safe Return to Work Form (Modified Duty Form), Employee Responsibilities Handout, and My Contacts Handout.
- Handout Only – Employee Responsibilities DLC
- Form Only – Modified Duty Form – DLC
Grace Hospital – Site Specific Package
- Manager to OESH Referral Form – This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
- Employee Return to Work Package – includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
- Handout Only – Employee Responsibilities GH
- Form Only – Modified Duty Form – GH
Health Sciences Centre – Site Specific Package
- Manager to OESH Referral Form – This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
- Employee Return to Work Package – includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
- Handout Only – Employee Responsibilities HSC
- Form Only – Modified Duty Form – HSC
Middlechurch Personal Care Home – Site Specific Package
- Manager to OESH Referral Form – This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
- Employee Return to Work Package – includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
- Handout Only – Employee Responsibilities – Middlechurch
- Form Only – Modified Duty Form -Middlechurch
River Park Gardens – Site Specific Package
- Work Related Injury / Near Miss - Form 1
- Manager to OESH Referral Form – This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
- Employee Return to Work Package – includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
- Handout Only – Employee Responsibilities – RPG
- Form Only – Modified Duty Form -RPG
Seven Oaks General Hospital – Site Specific Package
- Manager to OESH Referral Form – This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
- Employee Return to Work Package – includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
- Handout Only – Employee Responsibilities SOGH
- Form Only – Modified Duty Form – SOGH
Victoria Hospital – Site Specific Package
- Manager to OESH Referral Form – This form is to be completed by the Supervisor/Manager when an employee is absent for more than two weeks, and/or is unable to perform regular job tasks due to a medical reason
- Employee Return to Work Package – includes Intro Letter, Employee Responsibilities Handout, My Contacts Handout, Modified Duty Form
- Handout Only – Employee Responsibilities VH
- Form Only – Modified Duty Form – VH