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Annual Medical Surveillance Questionnaire
Completion of this form is an annual requirement for all CU Denver/Auschwitz employees who work with animals or hazardous materials. Access to the CU Auschwitz
vivarium
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How to fill out medical screening and surveillance
How to fill out medical screening and surveillance
01
Step 1: Obtain the necessary medical screening and surveillance forms from your healthcare provider.
02
Step 2: Read and understand the instructions provided with the forms.
03
Step 3: Gather all relevant medical information and test results that may be required for the screening and surveillance.
04
Step 4: Fill out the forms accurately and completely, providing all necessary personal and medical details.
05
Step 5: Attach the supporting documents, such as medical reports, test results, and vaccination records, as per the instructions.
06
Step 6: Double-check all the information entered on the forms to ensure accuracy.
07
Step 7: Submit the completed forms and supporting documents to your healthcare provider as instructed, either in person or through a designated method.
08
Step 8: Follow up with your healthcare provider if there are any further instructions or actions required.
Who needs medical screening and surveillance?
01
Medical screening and surveillance may be required for individuals in various situations:
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- Employees in certain industries or job roles that involve exposure to hazardous substances or environments.
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- Individuals planning to travel to certain countries with specific health requirements.
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- Individuals with a family history or personal risk factors for certain diseases or conditions.
05
- Individuals involved in clinical trials or medical research studies.
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- Individuals seeking occupational health clearance for specific activities or positions.
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- Healthcare workers responsible for patient care.
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- Individuals with known or suspected exposure to infectious diseases.
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- Individuals with potential exposure to environmental toxins or radiation.
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- Individuals involved in sport activities or professional sports.
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- Individuals with underlying medical conditions or disabilities that require regular monitoring.
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- Individuals with a history of substance abuse or addiction.
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What is medical screening and surveillance?
Medical screening and surveillance involves monitoring the health of individuals to detect diseases or conditions at an early stage.
Who is required to file medical screening and surveillance?
Employers are typically required to file medical screening and surveillance for their employees.
How to fill out medical screening and surveillance?
Medical screening and surveillance forms can typically be filled out online or in person with a healthcare provider.
What is the purpose of medical screening and surveillance?
The purpose of medical screening and surveillance is to ensure the early detection and prevention of diseases or health conditions.
What information must be reported on medical screening and surveillance?
Information such as medical history, current symptoms, and risk factors may need to be reported on medical screening and surveillance.
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