That permanent injury rating is usually given to you by your doctor.

The medical personnel who issue the medical sick leave, confirmation and discharge reports will give the worker two copies, one for the interested party and one for the company.

The INSS is also competent to issue a sick leave report in the case of a relapse in a process of under 365 days, which ended with a medical discharge issued by the INSS doctor.

This first confirmation report will cancel the medical discharge stated in the sick leave report, and will indicate the diagnosis, the new estimated duration and the type of process, and the date of the next medical checkup.