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Employee / Prospective Employee

Pre-Placement Health Assessment

You have been asked to undergo a pre-placement assessment with Organisational Healthcare, in line with your employer’s/prospective employer’s policies and procedures. The purpose of this questionnaire is to gather essential information from you in order that we can assess any health condition affecting your ability to undertake duties of the post and to identify where individuals might need adjustments to their work.



Referral for Assessment and Advice

It is important that the subject of the health assessment is properly informed at the outset of the referral and consents to this process. Please complete the form in full giving as much information as possible. Once complete, submit the form online and email any supporting documents to office@organisationalhealthcare.com