Medical Assessment Form

Question 1

What sections are employee responsible to fill out? (2)

Answer 1

1. Sec. A- employee info

2. Sec. B- employee’s auth. to release info

Question 2

What sections are to be filled out by health professional? (2)

Answer 2

1. Sec. C

2. Sec. D

Question 3

What Acts and Code is the City of Brampton committed to fufilling by following the MAF? (3)

Answer 3

1. Occupational Health and Safety Act
2. Workplace Safety and Insurance Act
3. Ontario Human RIghts Code