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Occupational Health Services, UC Davis 1 Shields Avenue Davis, CA 5307526051 Fax: 5307525277 REQUEST & AUTHORIZATION FOR MEDICAL SERVICES Employees Name: Job Title: Dept phone #: UCD ID#: Department:

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How to fill out occupational health forms

01

Start by reading and understanding the instructions provided on the occupational health forms.

02

Provide your personal information accurately, such as your full name, date of birth, and contact details.

03

Mention your occupation or job title along with the name of your employer.

04

Fill out the medical history section by providing details about any pre-existing medical conditions, allergies, or previous occupational health issues.

05

If required, answer any specific questions related to your occupation, such as exposure to hazardous substances or work-related injuries.

06

If necessary, attach any relevant medical reports, test results, or supporting documents.

07

Make sure to sign and date the form.

08

Double-check all the information provided before submitting the form.

Who needs occupational health forms?

01

Occupational health forms are typically needed by employees or individuals who are required to undergo regular medical assessments or provide information regarding their health in relation to their occupation.

02

This can include employees working in industries such as healthcare, construction, manufacturing, transportation, and any other field where potential occupational hazards exist.

03

Employers may also require their employees to fill out occupational health forms as part of their health and safety policies.

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What is occupational health forms?

Occupational health forms are documents used to record and assess the health and safety of employees in the workplace.

Who is required to file occupational health forms?

Employers are typically required to file occupational health forms for their employees.

How to fill out occupational health forms?

Occupational health forms can be filled out by providing accurate information about employee health and safety measures taken by the employer.

What is the purpose of occupational health forms?

The purpose of occupational health forms is to ensure the well-being and safety of employees in the workplace.

What information must be reported on occupational health forms?

Information such as employee health records, safety measures, and any incidents related to occupational health must be reported on occupational health forms.

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