Medical Treatment Memorandum

You can submit your medical-related documentation by either:

• Internal Mail: myHR c/o Disability Management Coordinator
  
• Fax: 905-685-5355
  
• Email: ehs@niagararegion.ca

Sick Leave

All employees are required to provide one of the following within required timelines for their employee group: (see chart below)

• A suitable medical certificate, or
• Treatment memorandum and functional abilities report

Employee Group	Medical Certificate Requirements
C1019	Absent for three days or more
C1757	After five consecutive scheduled shifts
C1287
C1263
ONA PH
ONA Homes
Non-Union
All Groups	Part-time Employees After the first 10 shifts of absence in a calendar year due to personal emergency leave, the reporting timelines as indicated above (for full-time employees) will apply.

The submission deadline for all employees is:

• Within 24 hours after seeing a health care provider, and
• Within 10 calendar days following the first sick day

Treatment Memorandum and Functional Ability Reports

Print and take your form to your health care provider to complete.

• For Health Care Aides and Registered Practical Nurses
  
• For Niagara EMS
• For all other Employees

Workplace Injury Leave (WSIB)

All employees are required to provide suitable medical certificate or Treatment Memorandum and Functional Abilities Report within 24 hours of seeing a Health Care Provider as a result of a workplace injury.

More information regarding sick leave and workplace injury reporting available on the Employee Centre.