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Occupational Health Referral Form Please complete all boxes EMPLOYER TO COMPLETE: This form should be forwarded along with a completed Consent Form to: HBGB.OH@willistowerswatson.com Employer Details
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How to fill out occupational health referral form
How to fill out occupational health referral form
01
Obtain the occupational health referral form from the appropriate department or website.
02
Fill in your personal information such as name, date of birth, address, and contact details.
03
Provide information about your current job role and any relevant medical history.
04
Have your supervisor or manager complete their section of the form, including any specific concerns or recommendations.
05
Submit the completed form to the occupational health department for review and assessment.
Who needs occupational health referral form?
01
Employees who have been advised by their supervisor or manager to seek assistance from occupational health
02
Employees who have experienced a work-related injury or illness
03
Employees who are returning to work after a period of absence due to health reasons
04
Employees seeking advice or support on how to manage their health in relation to their job
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What is occupational health referral form?
The occupational health referral form is a document used to refer an employee to a health professional for work-related health issues.
Who is required to file occupational health referral form?
Employers are required to file the occupational health referral form when an employee needs to be referred to a health professional for work-related health issues.
How to fill out occupational health referral form?
To fill out the occupational health referral form, employers need to provide details about the employee, the health issue, and the reason for the referral.
What is the purpose of occupational health referral form?
The purpose of the occupational health referral form is to ensure that employees receive appropriate health care for work-related health issues.
What information must be reported on occupational health referral form?
The occupational health referral form must include the employee's name, contact information, details of the health issue, and the reason for the referral.
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