Company doctor says you are fit to work

You feel unwell, but the company doctor has assessed you as (partially) fit to work. That feels unjust — and sometimes it is. But how you respond now determines your position.

Do you recognise this?

You visited the company doctor. The consultation lasted perhaps fifteen minutes. A few questions were asked, but you felt the conclusion was already set. The verdict: you can work, or you need to start building up your hours.

But you know how you feel. The symptoms are still there. You sleep poorly, you cannot concentrate, or your physical limitations persist. Your GP or specialist says something entirely different from the company doctor.

The company doctor's assessment carries significant weight. Your employer bases your reintegration on it. If you disagree but take no action, the assessment is treated as established.

This is a common disagreement with the company doctor. You are not alone — but you need to take action.

Signs you recognise

  • -> You do not feel capable of working
  • -> The consultation was brief
  • -> Your treating physician says something different
  • -> Your employer expects you to start immediately
  • -> You are not being taken seriously
  • -> The advice does not match your symptoms

Why this happens

1

Different criteria

The company doctor assesses work capacity, not whether you feel well. That is a different standard than your GP uses. You can have symptoms and still be assessed as "able to work" — but that does not mean the assessment is always correct.

2

Limited information

The company doctor bases the assessment on one consultation. Your GP or specialist has known you much longer. Sometimes crucial medical information is missing that would change the assessment. The company doctor cannot always request information from your treating physician directly.

3

Employer pressure

The company doctor should be independent but is paid by the employer through the occupational health service. In some cases, this relationship leads to assessments that favour the employer. That is not allowed, but it does happen. Read more about the company doctor siding with the employer.

What you need to know

The assessment is not final

The company doctor's assessment is an advisory opinion, not a court ruling. You have the right to challenge it through a second opinion or a UWV expert opinion. But you must take action — doing nothing confirms the assessment.

Your treating physician is not a company doctor

Your GP, psychologist, or specialist can confirm you have symptoms but does not assess work capacity. Still, information from your treating physicians is valuable: it can provide a second opinion doctor or UWV physician with a more complete picture.

Not working can have consequences

If the company doctor deems you fit and you refuse to work without formally objecting, your employer can view this as a refusal to work. This can lead to a salary stop. That is why it is crucial to object in writing and request a second opinion or expert opinion.

Timing matters

The longer you wait to take action, the more it appears that you accept the assessment. Request a second opinion or expert opinion as soon as possible. This also protects you against potential sanctions from your employer.

What can you do?

1

Object in writing

Send your employer an email stating that you disagree with the company doctor's assessment. Confirm that you are willing to cooperate but that you are having the assessment reviewed.

2

Request a second opinion

You can request a second opinion from the company doctor. An independent company doctor then reassesses your situation. The costs are covered by your employer.

3

Request a UWV expert opinion

At the UWV, you can request an expert opinion. An insurance physician provides an independent assessment. This costs EUR 100 and carries significant weight in potential legal proceedings.

4

Gather medical information

Ask your GP, specialist, or psychologist for a written statement with their findings. You can take this to the second opinion or expert opinion assessment.

5

Document your symptoms

Keep track of which symptoms you experience, how they limit your daily functioning, and what you can and cannot do. This concrete overview helps with every subsequent assessment.

6

Seek legal assistance

If the situation threatens to escalate — for example with a salary stop or pressure to start working — legal guidance can make the difference between a resolution and a prolonged conflict.

Normal difference of opinion vs. problematic assessment

May be a normal difference

  • The company doctor spoke with you extensively
  • The assessment is substantiated and specific
  • A gradual return-to-work plan was proposed
  • The company doctor consulted your treating physician
  • You disagree but understand the reasoning

Probably problematic

  • The consultation lasted less than 10 minutes
  • The company doctor dismissed your symptoms
  • No medical information was requested
  • The assessment came right after employer pressure
  • You were immediately declared fully fit
  • Your specialist explicitly says you cannot work

Common situations

"My specialist says I cannot work"

"My psychologist and GP both think I am not ready to work. But the company doctor says I should start with 4 hours per day."

The company doctor assesses work capacity, your treating physicians do not. But their information is relevant. Ask them for a written statement and take it to a second opinion or expert opinion. The difference in assessment is precisely a reason to request an independent review.

"The consultation only lasted ten minutes"

"The company doctor asked a few questions, barely looked up, and concluded I could work. I could not even tell my story."

A thorough assessment requires a proper examination. If you feel the company doctor did not listen to you, that is reason to request a second opinion. Document in writing what was discussed and what was not.

"My employer is forcing me to start"

"The company doctor says I can work and my employer expects me to start tomorrow. But I do not feel capable at all."

Object in writing immediately. State that you disagree with the assessment and that you are requesting a second opinion or expert opinion. This protects you against a potential salary stop for refusal to work.

"I am afraid they will stop my salary"

"If I do not work while the company doctor says I can, there may be a salary stop. But I truly cannot work."

That fear is understandable, but there are steps that protect you. By formally objecting and requesting an expert opinion, you demonstrate that you are not simply ignoring the assessment. While an objection is pending, your employer has a weaker legal position for a salary stop.

What MediRights can do for you

A company doctor's assessment that does not align with how you feel is disruptive. It affects your health, your work, and your income. And it strains the relationship with your employer.

MediRights assesses whether the company doctor's opinion was reached through a thorough process. We examine the reasoning, the procedure, and whether relevant medical information was taken into account.

Based on this, we advise you on the most promising route: a second opinion, an expert opinion, or both. We guide you through the application and ensure you are prepared for every step.

Our approach

  • V Analysis of the company doctor's assessment
  • V Review against treating physicians' information
  • V Advice: second opinion or expert opinion
  • V Drafting a written objection
  • V Guidance through the procedure
  • V Protection against salary sanctions

Company doctor says you can work, but you feel otherwise?

Have the assessment reviewed before it leads to consequences. How you respond now determines your position throughout the process.

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