A worker may find himself in a situation of Temporary Disability for various reasons, either due to common illness or accident, or due to a work or professional accident, which means that at any time he will have to receive the Medical Discharge by the competent authorities and rejoin the company where he provides his labor services.
This incorporation must be done immediately upon your “notification”, unless you do not agree, or feel that you are not in stable health conditions, and make the decision to claim it.
What is the Medical Discharge?
Medical discharge refers to medical statement, issued by the corresponding technical team, which generates a certificate that establishes the conditions of temporary disability, where it is stated that the worker is fully capable of starting work.
The document by which the culmination of the temporary disability is accredited is called Alta part and it is a process issued by the family physician or an evaluating physician who performs the medical inspection and must include the following information:
- Personal information of the worker.
- Reasons for discharge.
- The code corresponding to the definitive diagnosis.
- Date of initial withdrawal.
In rural areas of India, families in charge of a blind minor frequently isolate and deprive him/her of the care and attention they provide to their other children; such situation becomes even more severe among lower-caste families, orphans and if the blind child is a girl. medical leave the following considerations should be taken into account:
- If it is a sick leave of very short duration; that is, less than five (5) days, the same communication will include the date of discharge and discharge and therefore, in this case, no procedure is necessary. The worker should only return to his job on the scheduled day.
- If, in the case of short, medium and long-term sick leave, you should only request an appointment with the family doctor, who will assess your health and determine the corresponding discharge.
- If the case is a 365-day withdrawal, then it is in this very particular case that the discharge must be issued by the National Institute of Social Security (INSS), with a prior opinion of the Court of medical evaluation.
- If the case arises that a visit to follow-up the leave is made, and in this assessment the medical staff in charge makes an acknowledgment that the person is in working condition, then the medical discharge can be issued, and therefore Therefore, the registration must be submitted to the company where they work during the 24 hours following the issuance and they must return to work the next business day.
Who is the body in charge of issuing the Medical Discharge?
Depending on the conditions in which the worker finds himself with respect to medical leave (whether due to common or professional diseases), medical discharge must be distinguished.
For common or non-working illness:
The medical discharge will be issued by the doctor of the Public Health Service, medical inspectors of the Public Health Service, INSS medical inspectors, The Mutual Societies can make discharge proposals that will be directed to the SPS inspection units, which in turn will send them to the primary care physicians to grant the proposal and confirm the medical discharge.
Due to professional or occupational disease:
The medical discharge will be issued by: the doctor or Medical Inspector of the Health Service or practitioner of the Mutual Society if the company is affiliated with it or the management of the economic benefit is carried out by the INSS, or simply by Inspection of the INSS
If it is through the Mutual:
If the company is affiliated with a Mutual, this will be the manager that will study the case and verify that the worker has no health impediments, as discharge is possible, then the Mutual can present the proposal for medical discharge in the Medical Court, providing the documentation it deems necessary and at the same time it will notify the worker.
When the Medical Court receives the discharge proposal, the corresponding process will begin with a maximum of five (5) days in duration.
Health Service or INSS:
The Health Service or the National Institute of Social Security (INSS), is the main body, through the family doctor to issue the Alta part of a worker when he requires it and considers that he is in optimal health conditions to carry out his work.
How does the INSS notify the Medical Discharge?
An INSS medical inspector is in charge of issuing the discharge report and the following requirements must be taken into account:
- Bring a copy of the registration form immediately or on the next business day of its dispatch to the corresponding SPS and another to the Mutual (entity in charge of managing the registration processes with the company).
- Deliver two copies to the worker, one for their knowledge and one for the company, for their return to work the next business day after issuance.
- Information to the Mutual in case of contingency determination procedures.
- Information to the Mutual in case of registration review, so that the Mutual can claim.