File Description: 

Fillable form for manager to complete when employee requests a work modification due to being in a high-risk category or pregnancy. Uploaded 04.23.20

The information on this site is intended solely for the internal use by Duke University Health System, its medical staff, clinicians and staff and any and all content or services available on or through this website is prohibited to be shared with external parties with the exception of those marked as patient communications that would be disclosed to patients.
File Content: