Form preview

Get the free Pre-Employment Health History Questionnaire

Get Form
COUNTY OF LOS ANGELES Department of Human Resources Occupational Health Programs PreEmployment/Poster Medical Examinations Phone: 2137382187 Fax: 2137841713CONFIDENTIAL REPLACEMENT HEALTH HISTORY
We are not affiliated with any brand or entity on this form
4,4
98,753 Reviews
4,5
11,210 Reviews
4,6
715 Reviews
4,6
789 Reviews

Get, Create, Make and Sign pre-employment health history questionnaire

Edit
Edit your pre-employment health history questionnaire form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your pre-employment health history questionnaire form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing pre-employment health history questionnaire online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the professional PDF editor, follow these steps below:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit pre-employment health history questionnaire. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
Learn more about security & compliance
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out pre-employment health history questionnaire

Illustration

How to fill out pre-employment health history questionnaire

01
Step 1: Gather all necessary information and documents.
02
Step 2: Read the instructions and questions carefully.
03
Step 3: Provide accurate and detailed information about your medical history.
04
Step 4: Include any past illnesses, surgeries, or chronic conditions.
05
Step 5: Be honest about any ongoing medications or treatments.
06
Step 6: Answer all questions to the best of your knowledge.
07
Step 7: If you are unsure about any specific questions, consult with a healthcare professional.
08
Step 8: Review the completed questionnaire for any errors or missing information.
09
Step 9: Sign and date the questionnaire as required.
10
Step 10: Submit the filled out questionnaire to the appropriate party.

Who needs pre-employment health history questionnaire?

01
Pre-employment health history questionnaires are typically required for individuals who are applying for a new job or position.
02
Employers use these questionnaires to assess the health status and potential risks of potential employees.
03
This helps employers make informed decisions regarding the suitability of candidates for specific roles.
04
Additionally, the health history questionnaire allows employers to comply with legal requirements related to occupational health and safety.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.5
Satisfied
47 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

When you're ready to share your pre-employment health history questionnaire, you can send it to other people and get the eSigned document back just as quickly. Share your PDF by email, fax, text message, or USPS mail. You can also notarize your PDF on the web. You don't have to leave your account to do this.
It's simple using pdfFiller, an online document management tool. Use our huge online form collection (over 25M fillable forms) to quickly discover the pre-employment health history questionnaire. Open it immediately and start altering it with sophisticated capabilities.
On an Android device, use the pdfFiller mobile app to finish your pre-employment health history questionnaire. The program allows you to execute all necessary document management operations, such as adding, editing, and removing text, signing, annotating, and more. You only need a smartphone and an internet connection.
A pre-employment health history questionnaire is a form used by employers to collect information about a potential employee's medical history and health status prior to hiring. It helps employers assess the fitness of candidates for the job.
Typically, all potential employees who are being considered for a job that requires a health assessment or where health could impact job performance are required to file a pre-employment health history questionnaire.
To fill out a pre-employment health history questionnaire, candidates should read each question carefully, provide accurate and complete answers regarding their medical history and health conditions, and ensure to disclose any relevant information that might affect their employment.
The purpose of the pre-employment health history questionnaire is to evaluate an applicant's health status to determine their ability to perform job-related duties, ensure workplace safety, and facilitate any necessary accommodations if needed.
The information that must be reported generally includes personal medical history, current medications, past surgeries, chronic health issues, disabilities, and any other health conditions that could impact job performance.
Fill out your pre-employment health history questionnaire online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview

Pre-Employment Health History Questionnaire is not the form you're looking for?Search for another form here.

Related Features

Bless Initials Relocation Policy
Bless Initials Certificate Of Incorporation
Bless Initials Royalty Agreement Template
Bless Initials Redemption Agreement Template
Bless Initials HR Outsourcing Proposal Template

Relevant keywords

2020 los ohp ssn impairments musculoskeletal misstatement westchester irwindale memorialcare hospitalizations glues solvents hospitalization forfeiture silica applicable limitation providers numbness disqualification certification pre diagrams certify con

Related Forms

Form preview
SBA Form 1059. SBA Security Agreement - sba
U.s. small business administration security a agreement sba loan # sba loan name debtor (exact
Fill Now
Form preview
fema 81 93 form
Standard flood hazard determination 1. lender name and address department of homeland security federal emergency
Fill Now
Form preview
SBA Form 2217 Request for SBA Approval of Management Servi - sba
Omb no.: 3245-0338 exp. date: 07/31/2005 new markets venture capital program investment division u. s.
Fill Now
Form preview
Idmemo 987 Memo - SBA - sba
U. s. small business administration washington, dc 20416 date: to: april 12, 2, all active
Fill Now
Form preview
sba wire
Sba wire transfer form sba loan number: sba loan name: lender contact information contact name
Fill Now
Form preview
sba 1919 form editable
Please wait if this message is not eventually replaced by the proper contents of the
Fill Now
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.