Occupational Health Forms

Access to Medical Reports

• Access to Medical Reports Act 1988 (AMRA)

  Access to Medical Reports Act 1988 (AMRA)

• Consent Form (Staff)

  Consent Form (Staff)

• Consent Form (Student)

  Consent Form (Student)

Night Workers Health Questionnaires 

• Health Questionnaire for Night Workers

  Health Questionnaire for Night Workers

Health Hazard Identification

• Health Hazard Identification Form

  Health Hazard Identification Form

Referral for Assessment and Advice

• Management referral

  Management referral
  (current employees)

• On-offer management referral

  On-offer management referral
  (prospective employees with a job offer)

• Self-referral

  Self-referral
  - incl. physiotherapy (current employees)

• Student referral

  Student referral
  (professionally regulated students only)

Research Passports

OH screening certificate for NHS research / study:

• Occupational Health (OH) screening form

  Occupational Health (OH) screening form
   
  IMPORTANT: only complete pages 1, 3 and 4. Page 2 will be completed during the appointment. Please take any immunisation evidence requested on page 2 to your appointment.

• Requirements for OH screening

  Requirements for OH screening
• Managers must confirm a research passport is required by signing a Hazard Identification Form (see the above section of the same name) and submit it to us via MyServices. An appointment cannot be made until this form has been received.