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Este formulario debe completarse, firmarse y devolverse a Salud y Seguridad Ambiental (EH&S) para la evaluación y registro del contacto con animales vertebrados. Se recomienda a todos los empleados
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How to fill out Medical Monitoring Program for Vertebrate Animal Users Enrollment and Risk Assessment Form

01
Obtain the Medical Monitoring Program for Vertebrate Animal Users Enrollment and Risk Assessment Form from the designated source.
02
Fill out personal information including name, contact information, and department.
03
Provide details about the types of vertebrate animals you will be working with.
04
Indicate the specific procedures or activities you will be performing with the animals.
05
List any previous training or qualifications related to animal handling and care.
06
Complete the health history section, including any relevant medical conditions or allergies.
07
Sign and date the form to certify the accuracy of the information provided.
08
Submit the form to the appropriate department for review.

Who needs Medical Monitoring Program for Vertebrate Animal Users Enrollment and Risk Assessment Form?

01
Researchers and staff who are involved in the care and use of vertebrate animals in research, education, or testing.
02
Anyone who will be directly handling or interacting with vertebrate animals as part of their job or research activities.
03
Individuals requiring medical oversight or monitoring due to potential exposure to zoonotic diseases or other risks associated with animal work.
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The Medical Monitoring Program for Vertebrate Animal Users Enrollment and Risk Assessment Form is a document used to assess the health risks and monitoring requirements for individuals who work with vertebrate animals in research settings.
Individuals who are involved in the handling or care of vertebrate animals in research, including researchers, laboratory staff, and any personnel regularly interacting with these animals, are required to file this form.
To fill out the form, individuals should provide personal details, description of their work with vertebrate animals, any previous medical history related to animal exposure, and any specific health risks identified. It often requires signature and date for submission.
The purpose of this form is to facilitate the identification of health risks associated with working with vertebrate animals, ensure proper health monitoring, and to comply with safety regulations in research environments.
The form requires reporting personal identification information, details on the types of vertebrate animals handled, nature of tasks performed, potential exposure risks, any previous health issues related to animal work, and preventive measures taken.
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