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Florida International University EHS-F109 2013-2025 free printable template

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FIU MEDICAL SURVEILLANCE PROGRAM HEALTH QUESTIONNAIRE FOR EMPLOYEES WITH ANIMAL CONTACT Do not return completed questionnaire to Environmental Health & Safety. Take completed form with you to the
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How to fill out FIU medical surveillance program:

01
Visit the FIU medical surveillance program website.
02
Register for an account using your FIU credentials.
03
Log in to your account and complete all required fields in the personal information section.
04
Provide information on any pre-existing medical conditions or allergies.
05
Fill out the vaccination history section with details of all your immunizations.
06
Review and acknowledge the consent form for participating in the medical surveillance program.
07
Upload any relevant medical documents or records, if necessary.
08
Submit your completed form.

Who needs FIU medical surveillance program:

01
All students, faculty, and staff at Florida International University (FIU) are required to participate in the medical surveillance program.
02
The program is designed to monitor the health and well-being of the FIU community, especially in cases of potential outbreaks or infectious diseases.
03
Compliance with the program helps ensure a safe and healthy environment for everyone at FIU.
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The FIU medical surveillance program is a program designed to monitor the health of individuals who may be exposed to certain occupational hazards.
All employees who are identified as having potential exposure to certain occupational hazards are required to participate in the FIU medical surveillance program.
Employees can fill out the FIU medical surveillance program by scheduling appointments with the designated healthcare provider and providing relevant information about their job duties and potential exposures.
The purpose of the FIU medical surveillance program is to monitor the health of employees who may be exposed to occupational hazards, in order to prevent and detect any adverse health effects.
The FIU medical surveillance program requires reporting of employee information, job duties, potential exposures, medical history, and results of medical tests.
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