Return to Work Plan

Fill in the details below to build a phased plan — fully unfit, fit for some work, fully fit — in a format that lines up with the fields on an ACC medical certificate, so it's easy for a doctor or case manager to act on.

Fully Unfit Fit for Some Work Fully Fit

Client & claim details

The basics — matches the fields ACC asks for on a medical certificate.

Full name

ACC claim number

Date of injury

NHI number

Date of birth

Phone number

Email address

Current situation

A short summary of where things are at right now.

Job & work type

What the role normally involves, so restrictions make sense in context.

Job title

Work type / normal duties

Return to work calendar

Choose a status, then click a start date and an end date to mark a phase.

Now click a start date on the calendar

DatesDaysHoursComment

No phases yet — draw one on the calendar above.

Tip: in the print dialog, open More settings and turn off Headers and footers to drop the browser's date/URL line from the PDF.