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Animal Workers Medical Surveillance
Confidential Medical History
Employee Name: ___
Once completed, please place this form in a sealed envelope marked Confidential, with
your name, email address,
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What is animal workers medical surveillance?
Animal workers medical surveillance is the monitoring of the health of individuals who work with animals in order to protect their health and prevent the spread of diseases.
Who is required to file animal workers medical surveillance?
Employers who have employees that work with animals are required to file animal workers medical surveillance.
How to fill out animal workers medical surveillance?
Animal workers medical surveillance forms can typically be filled out online or through a paper form provided by the employer.
What is the purpose of animal workers medical surveillance?
The purpose of animal workers medical surveillance is to monitor the health of individuals working with animals to ensure their well-being and prevent the spread of diseases.
What information must be reported on animal workers medical surveillance?
Information that must be reported on animal workers medical surveillance includes the employee's name, contact information, job title, and any health issues or concerns.
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