JOB APPLICATION SCREENING PREM FORM
NB The PDF may open in your browser. If you want to download it to complete it digitally, please right-click (or control-click) and choose “save link as”.
Our Specialist Doctor will make an occupational Health assessment based on the form. If he has any further questions he may ring you to ask any relevant questions.
Our Doctor will complete a “Fit For Work” certificate and send it to your employer so that they can complete the final arrangements in employing you.
The completed document with relevant attachments can be emailed to firstname.lastname@example.org, or by post to:
4 Queen Street,
Any questions? Please call us on 01225 471449
All your medical and personal information will be treated with the utmost confidentiality according to General Medical Council guidelines and if there is any need to share it with anyone your consent will be sought first.