High-Risk Pregnancy Work Restriction Letter Template [Word Download]

Pregnancy, especially high-risk cases, demands extra care and consideration — both medically and professionally. If an expectant mother is dealing with conditions like hypertension, diabetes, heart disease, or other complications, it’s essential for her workplace to accommodate her health needs appropriately.

That’s where a High-Risk Pregnancy Work Restriction Letter comes in.

What is a High-Risk Pregnancy Work Restriction Letter?

This official document, typically issued by a healthcare provider, details the physical activities and work conditions an expectant mother should avoid to ensure a safe and healthy pregnancy. It also outlines any necessary adjustments or accommodations required at work.

Key Benefits of Using This Template:

• Protects maternal and fetal health by limiting exposure to unsafe working conditions.
• Clearly communicates medical limitations to employers.
• Ensures legal and professional compliance with workplace safety regulations.
• Customizable format allows for easy adjustments based on individual medical advice.

What This Template Covers:

• The expectant mother’s medical conditions or complications.
• Recommended workplace restrictions (e.g., no heavy lifting, no exposure to chemicals).
• Required workplace accommodations (e.g., additional breaks, ergonomic seating, flexible scheduling).
• A professional, easy-to-edit layout compatible with Microsoft Word.

Why Choose Our Template?

• Editable and printable — format-ready for immediate use.
• Time-saving and cost-effective — no need to draft a letter from scratch.
• Includes all essential details and professional formatting.
• Suitable for HR departments, medical practitioners, and expectant mothers alike.

Download and Customize with Ease

Get your High-Risk Pregnancy Work Restriction Letter template today, customize it to suit your or your employee’s medical needs, and promote a safer, supportive workplace environment for expectant mothers.