StartHealth · Template version 2026-10-26

Early support policy template

Agree a shared company process for requesting support, discussing how work is going and following up agreed work arrangements. Adapt the blank template with employees and occupational health. This is a policy, not an individual conversation record.

Blank company-process preparation template, not an individual employee case form. Do not enter names, diagnoses, medication, absence history or identifiable case details. Use the employer’s approved secure process for real employee cases. This template does not store or submit information. Editorial process aid, not individual medical or legal advice; medical review pending.

Complete blank fields describing company procedures. Use the browser print dialog for A4 paper or PDF. The blank HTML also works offline.

Approval and ownership

Requesting support and triggers

Conversation and work changes

Communication and secure handling

Fictitious example

A fictitious growth company agrees that interruptions at work can be discussed without reaching an absence threshold. Its protocol identifies who can clarify priorities and how work arrangements are followed up. This example promises no outcome.

Questions about the template

Who adapts the early support policy?

The employer agrees practices with employees and occupational health and assigns a role responsible for the policy.

Is a fixed absence count a universal conversation threshold?

No. A company-specific trigger and monitoring period are agreed in the workplace policy; they are not a universal legal threshold.

Is this an individual employee memo?

No. It is a blank company-procedure template. Handle real employee cases through the approved secure process.