Occupational Health Assessment referral letter template

Occupational Health Assessment referral letter template

Our Occupational Health Referral Letter Template facilitates seamless communication with healthcare professionals, expediting employee support and recovery.

£7.90
Specifications
Access 12 months (includes updates)
Length 632 words · 2 pages
Jurisdiction England, Wales and Scotland
Based on UK employment law, ACAS guidance
Last review 01/08/2026
Next review 01/02/2027
Delivery Instant download
Formats .doc · .txt · email

Download .doc

Copy [to paste]

Email
Template

[Sender name]

[Sender address]

[date]

[Recipient name]

[Recipient address]

 

Dear [Recipient first name],

Referral for occupational health assessment

I am writing to refer [Employee's Name], an employee of [Company Name], to you for an assessment of their health status and any potential work-related issues.

[Employee's Name] has been experiencing [brief description of health concerns or issues, if known]. Due to the nature of their role within our organisation and our commitment to ensuring the well-being and safety of all employees, we believe it is essential for them to undergo a thorough evaluation.

Please conduct a comprehensive assessment of [Employee's Name]'s health status, with a focus on any potential occupational hazards or concerns that may impact their ability to perform their job safely and effectively. Additionally, we would appreciate your insights and recommendations regarding any necessary accommodations or adjustments that may be required to support [Employee's Name] in their role.

[Employee Name] has provided written consent for us to request this assessment, whch I have enclosed.

Enclosed with this letter are relevant medical records and any additional information that may assist you in your assessment. Please see the followng details:

Employee Details

  • Employee Name:

  • Date of Birth:

  • Employee Address:

  • Employee

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What is an occupational health assessment referral letter?

The Occupational Health Referral Letter Template streamlines the process of referring employees to occupational health services for assessment and support. It provides a structured format for HR or line managers to communicate relevant information about the employee's health concerns, work-related issues, or fitness for work to the occupational health provider.

Additionally, the template ensures consistency and compliance with company policies and legal requirements throughout the referral process.

The template serves as a tool to facilitate effective communication between the employer, the employee, and the occupational health provider. It helps to ensure that essential details are included in the referral letter, such as the employee's consent, relevant medical history, and specific concerns or questions to be addressed. By using this template, organisations can expedite the referral process, promote employee well-being, and facilitate appropriate interventions to support employees in managing health-related challenges at work.

The wider HR process

Related HR resources and workflow

Explore the HR resources that may be relevant before and / or after using the Occupational Health Assessment referral letter, helping you understand the wider process, maintain appropriate documentation and follow a consistent approach.

Previous
Forms
Occupational Health Assessment Employee Consent form

Our Occupational Health Assessment Employee Consent form template streamlines the process, ensuring employee compliance and facilitating efficient health evaluations.

This
Occupational Health Assessment referral letter
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Example

Scenario: Occupational Health Assessment Referral

ABC Limited, a UK-based company, is committed to ensuring the health and well-being of its employees. HR Manager Sarah oversees the process of referring employees for Occupational Health Assessments when necessary.

Identification of Concern

Sarah becomes aware of an employee, John, who has been experiencing health issues that may impact his ability to perform his job safely and effectively. These issues include frequent back pain and discomfort while carrying out physical tasks in the workplace.

Initial Assessment

Sarah conducts an initial assessment of John's situation, including reviewing any relevant medical documentation and discussing his concerns with him. Based on this assessment, Sarah determines that a referral to an Occupational Health Assessment is necessary to further evaluate John's health and identify any adjustments or accommodations that may be required to support him in the workplace.

Referral Process

Sarah initiates the referral process by contacting the company's designated Occupational Health provider and providing them with relevant information about John's case. She follows the call up with a referral request letter. This includes details of his job role, the nature of his health issues, any previous medical assessments or treatments, and any specific concerns raised by John or his manager.

Appointment Scheduling

Once the referral is made, Sarah works with the Occupational Health provider to schedule an assessment appointment for John at the earliest convenience. She ensures that John is provided with clear instructions regarding the date, time, and location of the appointment, as well as any documentation or information he may need to bring with him.

Assessment Outcome

Following the Occupational Health Assessment, the provider evaluates John's health condition and provides a detailed report outlining their findings and recommendations. This report may include guidance on adjustments to his job role or working environment, recommendations for medical treatment or rehabilitation, and advice on managing his health condition effectively.

Implementing Recommendations

Sarah reviews the Occupational Health Assessment report and collaborates with John, his manager, and any other relevant stakeholders to implement the recommendations provided by the Occupational Health provider. This may involve making reasonable adjustments to John's job role or working conditions, providing additional support or training, or exploring other forms of assistance to help him manage his health condition effectively while remaining productive in the workplace.

Follow-up and Support

Sarah maintains regular communication with John to monitor his progress following the Occupational Health Assessment and to ensure that the recommended adjustments or accommodations are effective in supporting his health and well-being in the workplace. She remains available to provide ongoing support and assistance as needed, liaising with the Occupational Health provider and other stakeholders as required to address any further concerns or issues that may arise.

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Compliance

UK employment law and best practice

  • Equality Act 2010: Ensures that the referral process is fair and does not discriminate against employees based on their health condition or other protected characteristics.

  • Data Protection Act 2018 (incorporating GDPR): Mandates the handling of personal data within the referral letter in compliance with data protection principles.

  • Health and Safety at Work Act 1974: Requires employers to ensure the health, safety, and welfare of their employees, including providing access to occupational health services.

  • Acas Guidance on Health, Work, and Wellbeing: Offers best practice guidance on managing health-related issues in the workplace, including the referral process for occupational health assessments.

  • Best Practice: Clarity and Confidentiality: Ensure that the referral letter clearly outlines the reason for the assessment and maintains confidentiality of the employee's health information.

UK employment law guidance for Occupational Health Assessment referral letter template

Related Accident and incident management HR templates

Frequently Asked Questions

Can I use this in my small business?

Yes. This template has been designed for organisations of all sizes, including small businesses, charities and growing employers. It follows UK employment law best practice and can be adapted to suit your organisation.

Is it compliant with 2026 UK employment law?

Our templates are developed with UK employment legislation, Acas guidance and HR best practice in mind and are reviewed and updated as relevant requirements change. However, every employment situation is different, so the template should be adapted to the circumstances and checked against the employee's contract and your organisation's procedures before use.

Can I customise it for my organisation?

Yes, we highlight the areas of the document that you need to update with your own details, and where you need to make decisions to suit your situation. This saves you time and ensures that you meet best practice.

Do I get instant access to it?

Yes. Once purchased, you'll be able to download it instantly. Templates are provided in editable format (such as .doc or .xls) so you can customise them easily, and in PDF format for easy sharing.

What if I need more help, not just this template?

If you're looking for broader support, we also offer toolkits and library bundles that include the Occupational Health Assessment referral letter template, along with other HR templates and policies for fully managing your situation. These may be more cost-effective if you need deeper advice.

Why should I use this Occupational Health Assessment referral letter template, and not AI to generate it?

AI can produce a document quickly, but effective HR documentation needs to be more than well-written words. It needs to reflect relevant UK employment law, HR best practice, practical considerations and the circumstances in which it will be used. These resources have been professionally developed around that wider HR context, drawing on extensive practical experience, rather than simply generating a generic document from a prompt.

About the author

Darryl Horn, Chartered HR Director

Darryl is a Chartered HR professional with over 25 years' experience in senior HR and employee relations roles.

He has extensive practical experience of managing accident and incident management processes and founded hrdocbox to provide businesses with practical, professionally developed HR resources grounded in UK employment law and best practice.

Executive recommendation

"Darryl provides support and advice with excellent judgement, and has a strong understanding of people, policies and UK employment legislation."

"He is someone I trust; consistent, dependable, and committed to doing things properly."

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Ruth Brock Chief Executive Officer The Hygiene Bank
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