Sample Company Notice to Physician

This document is a sample Notice to Physician. It states: (COMPANY NAME) maintains a Transitional Return to Work Program (TRTW). When one of our employee’s sustains an injury, our TRTW program’s objective is to return the employee back to gainful employment in a seamless and efficient manner. The program provides valued work for the injured worker and enhances the injured employee’s self confidence and well being.