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  • Emailing Scan Dec 20, 2019

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    Skyler Albright
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    Martin Parsley visited the Bartow Regional Medical Center Emergency Department on November 11, 2019 due to an injury. The work release form from the physician states that Mr. Parsley may return to work on November 16, 2019 without any restrictions. However, if his symptoms continue past that date, he is advised to make an appointment with his worker's compensation physician or see his regular doctor.

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    Martin Parsley visited the Bartow Regional Medical Center Emergency Department on November 11, 2019 due to an injury. The work release form from the physician states that Mr. Parsley may return to work on November 16, 2019 without any restrictions. However, if his symptoms continue past that date, he is advised to make an appointment with his worker's compensation physician or see his regular doctor.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    52 views1 page

    Emailing Scan Dec 20, 2019

    Uploaded by

    Skyler Albright
    Martin Parsley visited the Bartow Regional Medical Center Emergency Department on November 11, 2019 due to an injury. The work release form from the physician states that Mr. Parsley may return to work on November 16, 2019 without any restrictions. However, if his symptoms continue past that date, he is advised to make an appointment with his worker's compensation physician or see his regular doctor.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    'I

    BARTOW REGIONAL MEDICAL CENTER


    EMERGENCY DEPARTMENT
    2200 Osprey Boulevard, POB 1050
    Bartow, FL 33831
    863-533-8111

    WORK RELEASE FORM

    This notice verifies that your emplc ~e, Martin Parsley

    was seen in this facility today, 11· 2019


    He/she may return to work on 11 -16-2019 with the following restrictions :

    None: [ ~]

    BE ADVISED: If symptoms continue and the employee is unable to perform the full
    duties of their job by this date, please advise the employee to make an appointment with
    your worker's comp physician. If that is not possible, the employee should see his or her
    own doctor or the referral doctor provided by us.

    Physician Signature

    \S:J 2000-2012 Krarres StayWell, 780 Township Line Road, V'ardley, PA 19067. All rlg~ts reserved . This lntormatlon ts not intended as .:i
    substitute for professional rredical care. Always follow your healthcare professionals Instructions.

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