Forms
Two official forms to download: a permit or an extension, and a form for someone about to leave hospital. A branch can prepare the application.
Permit or extension form
The form includes the patient’s details and the employer’s details, together with the employer’s commitment and the confidentiality waiver. Download the official file. A branch can prepare the application.
Download the form, 9.2.0002Form before hospital discharge
This is a separate form, for three months at most, and only for a worker already in Israel. It includes a diagnosis, a need for continuity of care, and a discharge date.
Download the form, 9.2.0002