An occupational form and a requested guarantee

Setting: A general practice paperwork appointment

The patient requests a work fitness statement. The supplied task is to explore duties and explain that only supported statements can be recorded.

Task

Explore the concern behind this opening: Can you write that I am completely safe to do every part of my job?
Clarify the patient perspective using an appropriate follow-up, such as: What makes this letter particularly important to you?
Explain the supplied information and its limits in manageable sections.
Explore practical barriers and agree a workable next step from the supplied options.
Check the patient understanding and identify any unresolved question.

An occupational form and a requested guarantee supplied information

The patient requests a work fitness statement. The supplied task is to explore duties and explain that only supported statements can be recorded.
I can discuss your current situation and describe what this consultation supports. A statement covering every possible duty would need information we do not currently have.
I cannot guarantee safety for duties we have not assessed or put an unsupported conclusion in a letter.
With your agreement, we can ask for a description of the duties and consider an occupational-health assessment. We can distinguish what is known from what still needs assessment.
The practice will explain the documentation process and contact route; an occupational assessment is not an automatic clearance or promise of employment.

Fictional scenario information supplied for exam communication practice only; not medical guidance for real patients.