My wife's job application was rejected by the company due to health reasons after her MRI results; we were not given any written documentation.

Short answer and actions to take:

• Possible reasons (general): The occupational physician or the health center conducting the examination may have issued a "not suitable" report due to findings in the neck/back MRI or examination that indicate a physical impediment to work; or the employee may not have been found suitable for the physical requirements of the profession. A written report is required for definitive information.

• What you can request immediately:

• Request a written statement of the reason for rejection and, if available, a copy of the "suitability/unsuitability" report from the employer or the unit handling the recruitment process.

• Request a copy of the MRI, X-ray, and other test results from the health institution that conducted the examination (as a patient, you have this right).

• Request a meeting with the occupational physician; clarify which findings are considered an impediment to work.

• Rights and follow-up:

• Health reports are subject to medical confidentiality; only results related to suitability for work are reported to the employer, but the employee can request a copy of the results. - If no written document is provided, you have the right to report the situation to the workplace human resources, workplace health unit, union (if any), or the Provincial Directorate of Labor and Social Security / Labor Inspection Board. - If you wish to appeal, you may consider seeking a second medical opinion (another hospital/specialist) and, if necessary, legal support.

• Brief medical measures and urgent symptoms:

• If your spouse experiences weakness in an arm/leg, sudden numbness, loss of bladder/fecal control, severe pain, or neurological deterioration, go to the emergency room — these are urgent red flags. - If there are chronic back/neck complaints, refer them to a family doctor or a physical medicine and rehabilitation/orthopedic neurology specialist to create a follow-up and treatment plan.

If you wish, I can prepare a short sample letter/template on how to write a formal request or which institution to contact and with what steps. I am not a real doctor and this is not a medical diagnosis.