Medical Leave Form Free Template

Make it easy for your team to collect medical leave requests with all information they need, and ensure that employees can get back to work with safety.

Collect everything you need in one place

Pipefy’s Medical Leave Form template helps you to collect the exact intake you need from employees. From the requesters’ contact information to doctors’ signatures, capture the details your team needs to ensure a safe medical leave and the employees’ return to work.

It is 100% customizable, so you can use the online form builder to edit different field types, colors, texts, buttons, and many other options as you like without the need to code.

Transform submissions into smart workflows

Simple as drag and drop

Build dynamic forms with simple drag and drop fields.

Centralize your intakes

Collect the exact information you need in one place.

Easily connect your form

Integrate Pipefy with any everyday tool.

Adapt this template for your needs and hit the ground running

Fast and simple to deploy

Get started with your process in minutes with this easy-to-use template.


Customize your unique needs without help from the IT department.

Wide app integrations

Connect your ERP, HRIS, CRM, and other existing tools with Pipefy to build a truly integrated operation.

Connect Pipefy to your favorite software with ease

HR Teams love Pipefy

Volvo Logo

Now, when hiring managers submit recruitment requests, they have to answer a series of questions, such as salary and job requirements. So when we get the requests, we don’t have to track down missing information.

Renan Souza Lima Strategic Analyst, HR

Related templates

Request a demo