The medical report beginning the period of temporary disability, whatever the determining contingency may be, will be issued immediately after the worker's medical examination, by the same medical personnel, using the form shown in annex I of Order ESS/1187/2015, of 15 June.
Process with a very short estimated duration: less than five calendar days.
When the medical personnel of the public health service or mutual society considers that the estimated duration of the process will be very short, they will issue the sick leave report and medical discharge report at the same time. To do this they will use a single report form, stating:
- the data relating to the sick leave,
- the data identifying the discharge and its date, which may be the same day as the sick leave begins or up to three calendar days after it.
Changing the duration of the process: Confirmation report.
However, the worker may ask for a medical examination on the day set for medical discharge, and if the medical personnel consider that the worker is not yet fit for work, they can change the originally estimated duration of the process, effectively issuing a sick leave confirmation report. This first confirmation report will cancel the medical discharge stated in the sick leave report, and will indicate the diagnosis, the new estimated duration and the type of process, and the date of the next medical checkup.
Other TD processes
When the medical personnel of the public health service or mutual society consider the process will have a short, medium or long estimated duration, they will enter the date of the next scheduled medical checkup on the sick leave report, which must always be within:
- seven calendar days from the date of the sick leave report, in processes with a short or medium estimated duration,
- fourteen calendar days in processes with a long estimated duration.
On the date of the first medical checkup they will issue the medical discharge report, or if the sick leave needs to continue, the first confirmation report.
Competence to issue medical sick leave reports:
- Public health service, in TD processes arising from:
common contingencies of workers in Social Security
professional contingencies of workers in companies who have protected these contingencies with the INSS
- Medical service of Social Security mutual society partners for TD processes arising from professional contingencies of:
workers in companies associated with a mutual society
self-employed workers who have joined a mutual society for protection from such contingencies.
- Company technician collaborating voluntarily in the management of professional contingencies: IT processes derived from professional contingencies of the workers of these companies.
- INSS/ISM Medical Inspector: sick leave reports on relapses in a process of less than 365 days which ended with a medical discharge report issued by the INSS doctor
- The INSS, through the EVI/CEI:
sick leave after medical discharge without a declaration of Permanent Disability formalised before reaching 365 days of TD
sick leave after medical discharge without a declaration of Permanent Disability between 366 and 545 days of TD
Information included in the sick leave report.
The sick leave report will provide the personal details of the worker, the date sick leave began, the contingency which caused it, the diagnosis code, the national code of the worker's occupation, the estimated duration of the process, and if applicable, a clarification that the process is a relapse from an earlier one, and in this case, the date sick leave started in the earlier process.
It will also state the date of the next medical examination.
Delivery of copies to the worker:
The medical personnel who issue the medical sick leave, confirmation and discharge reports will give the worker two copies, one for the interested party and one for the company.