The occupational health forms are intended to be completed, printed and then returned by post. They should only be returned by email in PDF format, with the individual’s informed consent and then using the secure occhealth email address

Ref No:	Title	Date of issue
OHF01	Management referral form	June 2018
OHF02	Self-referral form	February 2018
OHF03	Covid-19 Referral Form	July 2020
	Covid-19 Risk Assessment for clinical and embedded spaces within hospital settings Covid-19 Risk Assessment for non-clinical areas Covid-19 Part D Return to work, Staff risk assessment, Red risk group including those shielding (version 3, April 2021)	January 2021
OHF04	On Offer Referral Form	June 2018
OHF05	Food handlers questionnaire	September 2018
OHF06	Food handlers agreement	September 2018
OHF07	Fork Lift Truck / Driver	March 2019
OHF08	Respiratory / Skin Sensitiers initial health questionnaire	September 2018
OHF09	Respiratory six / twelve week health questionnaire	July 2014
OHF10	Research Passport health assessment questionnaire	December 2018
OHF11	Pre-clinical Medical Student Health Questionnaire	November 2020
OHF13	Medical student immunisation record	November 2020
OHF16	Preclinical veterinary student health questionnaire	November 2020
OHF18	Bloodborne virus testing consent form	July 2020
OHF19	Pre travel risk assessment form	September 2018
OHF20	Medical student HIV PEP risk assessment	January 2020
OHF22	Veterinary workers annual questionnaire	December 2015
OHF24	Respiratory annual health questionnaire	July 2019
OHF25	HAVS initial assessment	July 2018
OHF26	HAVS review assessment	July 2018
OHF27	Noise initial health assessment	September 2018
OHF28	Individual Stress Risk Assessment	June 2017
OHF29	Job Hazard Evaluation Form	June 2018
OHF30	Work Health Declaration	June 2018
OHF31	PGCE student health assessment	October 2020
OHF32	Health Assessment Questionnaire for Night Workers	September 2018
OHF33	DSE Eye Test Form	July 2019
OHF34	Display Screen Equipment Self-Assessment Checklist	December 2018
OHF35	Biological Agents Health Assessment Questionnaire	January 2020
OHF36	PGCE Student referral form	November 2018
OHF37	Medical Student Referral to Occupational Health	October 2018
OHF38	Medical Student Referral to Occupational Health from the Fitness to Practice Committee (FTPC)	April 2015
OHF39	Veterinary Student Referral to Occupational Health	January 2015

Guidance

OHG01	Medical Student Referral Guidance	December 2014
OHG02	Occupational Health Recruitment Guidance Flow Chart	September 2013
OHG03	Job Hazard Evaluation Guidance	May 2015
OHG04	Individual stress risk assessment worked example
OHG05	Management guidance for completing the individual stress risk assessment

OH Forms

Guidance

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