Get the free Employee and Family Medical Questionnaire

This document is designed to gather health information from employees and their family members for insurance coverage purposes, including medical history, family health history, and current medications.

How to fill out employee and family medical

How to fill out Employee and Family Medical Questionnaire

1. Begin with your personal information: Fill in your name, employee ID, and contact information.
2. Provide details about your position within the company including your job title and department.
3. List your medical history: Include any past or current medical conditions, surgeries, or treatments.
4. Fill in the family medical history: Include any relevant health issues that your immediate family members (parents, siblings) may have.
5. Disclose any medications you are currently taking: List all prescribed and over-the-counter medications.
6. Verify that all information is complete and accurate before submitting the form.
7. Submit the questionnaire to the designated HR representative or medical officer.

Who needs Employee and Family Medical Questionnaire?

1. The Employee and Family Medical Questionnaire is required for new employees during onboarding, employees applying for specific job positions that require health assessments, and employees seeking health-related benefits from the company.

People Also Ask about

Can an employer ask for proof of medical appointment in the UK?

Proof could be a hospital letter or a text message confirming a GP appointment. An employer might ask for proof of an appointment because they suspect an employee is not telling the truth. However, employers should keep in mind that appointments might be for sensitive reasons that an employee would not want to share.

Can my employer ask me what medications I am taking in the UK?

If an employer gathers information about the prescribed medication taken by staff, the Data Protection Act applies. In other words, the right of workers to a measure of privacy has legal support. This support is not absolute, however. The Data Protection Act allows employers a certain degree of freedom.

What questions can an employer ask about your health in the UK?

An employer cannot ask searching questions about your health as part of an application or interview process. However, employers can ask about whether you can accomplish a task that is essential to the job, or whether any reasonable adjustments will need to be made for a person to do that job.

What is the medical questionnaire?

A medical questionnaire is filled out by a participant in order to determine whether or not they are medically able to take part in a specific activity.

What is a health screening questionnaire?

The Health Assessment Questionnaire is a survey designed to gather information about an individual's health status. The survey consists of four sections, including personal information, lifestyle, medical history, and mental health.

Can a new employer ask for your sickness record in the UK?

Can a New Employer Ask for Sickness Record in the UK? Yes, a new employer can ask for your sickness record. This can be done either directly through a reference request or as part of a pre-employment health check. However, they must handle this information sensitively and comply with data protection laws.

Do I have to complete a health questionnaire?

2.2. 3 It is unlawful for employers to ask applicants to complete a pre-employment health questionnaire or to ask health or disability related questions as part of their application or interview process, unless circumstances are exceptional as outlined within the Equality Act.

Can my employer ask me to complete a medical questionnaire in the UK?

The general position is that it is unlawful for an employer to ask any job applicant about their health or disability unless and until the applicant has been offered a job. (But note that there are a few specific circumstances when questions about health and disability can be asked.

For pdfFiller’s FAQs

What is Employee and Family Medical Questionnaire?

The Employee and Family Medical Questionnaire is a form used to collect health-related information from employees and their family members to assess health risks, accommodate medical needs, and comply with workplace safety regulations.

Who is required to file Employee and Family Medical Questionnaire?

Typically, all employees and their eligible family members are required to file this questionnaire, especially if they're enrolling in health plans or programs that require an assessment of health history.

How to fill out Employee and Family Medical Questionnaire?

To fill out the questionnaire, carefully read each question, provide accurate and complete information regarding medical history, and submit the form by the specified deadline, ensuring all necessary signatures are included.

What is the purpose of Employee and Family Medical Questionnaire?

The purpose of the questionnaire is to identify health issues that may affect workplace safety, to facilitate preventative care, and to ensure that employees receive necessary accommodations related to their health.

What information must be reported on Employee and Family Medical Questionnaire?

The questionnaire typically requires information about medical history, current health conditions, medications, allergies, previous surgeries, and any other relevant health information that could impact the employee's work and safety.