For Employee Informational Purposes Only
|Extended Sick Leave (ESL)
Note: In general, employees are eligible for PAID leave under the ESL policy if a medical doctor signs a medical certification form.
Note: For UNPAID leave under FMLA, medical certification must be obtained by a provider listed in the first column.
|A doctor of medicine or osteopathy who is authorized to practice medicine or surgery by the State in which the doctor practices.||YES||YES|
|Podiatrists, dentists, clinical psychologists, optometrists, and chiropractors (limited to treatment consisting of manual manipulation of the spine to correct a subluxation as demonstrated by X-ray to exist) authorized to practice in the State and performing within the scope of their practice as defined under State law.||YES - podiatrists and dentists NO - clinical psychologists, optometrists, and chiropractors (Doctor must have a medical degree.)||YES|
|Nurse practitioners, nurse-midwives and clinical social workers who are authorized to practice under State law and who are performing within the scope of their practice as defined under State law.||NO||YES|
|Christian Science practitioners listed with the First Church of Christ Scientist in Boston, Massachusetts.||Case-by-base basis||YES|
|A health care provider from whom an employer or a group health plan's benefits manager will accept certification of the existence of a serious health condition to substantiate a claim for benefits.||NO||YES|
|A health care provider who practices in a country other than the United States, who is licensed to practice in accordance with the laws and regulations of that country.||Case-by-case basis. Must have a medical degree and/or be working with a medical doctor in the United States.||YES|