Occupational Health Form

All information provided by you in this questionnaire or later discussed in a consultation with an OH Advisor/ Clinician or OH Physician will be treated in complete confidentiality and will form part of your confidential OH medical record. 

The information given on this form and any subsequent medical examinations will be used to form an opinion on whether you are medically fit for a certain role and whether you can carry out a role without a significant risk to your own or others’ health and safety. The information can also be used to decide whether any adjustments will be needed in a place of work.