Occupational Health Forms

Please contact us if you need to access these documents in an alternative format.

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)

Health Questionnaires 

• Health Questionnaire for Night Workers

  Health Questionnaire for Night Workers

Job Hazard Identification Form (JHIF)

• Job Hazard Identification Form (JHIF)

  Job Hazard Identification Form (JHIF)

Referral Forms

• 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

Please note that you must only complete pages 1, 3 and 4, page 2 will be completed at your 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 Job Hazard Identification Form (JHIF - see above) and send it to us. An appointment cannot be made until this form has been received.