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)

Food Handlers

• Food handlers: pre-placement questionnaire

  Food handlers: pre-placement questionnaire

• Food Handlers Hygiene - Employee Advice Leaflet

  Food Handlers Hygiene - Employee Advice Leaflet

Health Questionnaires 

OH screening certificate for NHS research/study:

• Health Questionnaire for Night Workers.docx

  Health Questionnaire for Night Workers.docx

Job Hazard Identification Form (JHIF)

• Job Hazard Identification Form.docx

  Job Hazard Identification Form.docx

Referral Forms

• Management Referral Form

  Management Referral Form

• On Offer Referral Form

  On Offer Referral Form

• Student Referral Form

  Student Referral Form

• Self Referral Form

  Self Referral Form

Research Passports

• Occupational Health screening form

  Occupational Health 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.