Medical Declaration Form For Employees for Ireland

Medical Declaration Form For Employees Template for Ireland

This document serves as a comprehensive medical declaration form for employees in Ireland, designed to comply with Irish employment law, data protection regulations (GDPR), and health and safety legislation. It enables employers to collect and process relevant medical information about employees while maintaining appropriate confidentiality and data protection standards. The form facilitates proper health risk assessment, workplace accommodation planning, and ensures compliance with occupational health and safety requirements under Irish law.

Your data doesn't train Genie's AI

You keep IP ownership of your information

Generate a Bespoke Document

1. Select your governing law:

2. Enter your key requirements:

3. Create your document to edit, review or download

Download a Standard Template

Get our Ireland-compliant Medical Declaration Form For Employees

4.6 / 5

4.8 / 5

Alternatively: Run an advanced review of an existing
Medical Declaration Form For Employees

Let Genie AI's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.

Upload your Doc

What is a Medical Declaration Form For Employees?

The Medical Declaration Form For Employees is a crucial document used in the Irish employment context to gather and record essential medical information about employees. It is typically implemented during the onboarding process, after job offers, or when employees return to work following significant medical events. The form ensures compliance with Irish employment law, including the Safety, Health and Welfare at Work Act 2005 and Data Protection Act 2018. It captures relevant medical conditions, medications, and accommodation requirements while maintaining strict confidentiality standards. This document is particularly important for roles with specific health and safety requirements or in industries where employee health status directly impacts operational safety and efficiency.

What sections should be included in a Medical Declaration Form For Employees?

1. Employee Information: Personal details including name, employee ID, department, and role

2. Data Protection Notice: Statement explaining how medical information will be processed, stored, and protected in compliance with GDPR

3. General Health Declaration: Overall health status and existing medical conditions that might affect work performance

4. Medical History: Relevant medical conditions, surgeries, or ongoing treatments that could impact work

5. Current Medications: List of current medications that might affect work performance or require workplace accommodations

6. Emergency Contact Details: Contact information for emergency situations

7. Consent and Declaration: Employee's confirmation that information provided is accurate and consent for processing medical data

What sections are optional to include in a Medical Declaration Form For Employees?

1. Occupational Health Assessment: Specific health questions related to particular job roles or industries with special health and safety requirements

2. Physical Capability Statement: For roles requiring specific physical capabilities or fitness levels

3. Night Work Medical Assessment: Required for employees who will be performing night work, as per the Organisation of Working Time Act

4. Infectious Disease Declaration: Particularly relevant for healthcare or food service sectors

5. Workplace Accommodation Requirements: Section for declaring any specific workplace adjustments needed due to medical conditions

6. Mental Health Declaration: Optional section for roles where mental health status is particularly relevant to job performance

7. Pregnancy Declaration: For implementation of specific health and safety measures for pregnant employees

What schedules should be included in a Medical Declaration Form For Employees?

1. Schedule A - Medical Conditions List: Comprehensive checklist of medical conditions requiring disclosure

2. Schedule B - Risk Assessment Form: Form for assessing health risks specific to the role

3. Appendix 1 - GP Certification Form: Template for obtaining medical certification from employee's GP when required

4. Appendix 2 - Workplace Accommodation Request Form: Detailed form for requesting specific workplace accommodations

5. Appendix 3 - Medical Information Processing Policy: Detailed explanation of how medical information will be handled and protected

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Cost

Free to use

Relevant legal definitions

Clauses

Relevant Industries

Healthcare

Manufacturing

Construction

Food Services

Education

Transportation

Pharmaceutical

Childcare

Aviation

Maritime

Emergency Services

Mining

Chemical Industry

Hospitality

Sports and Recreation

Relevant Teams

Human Resources

Occupational Health

Legal

Compliance

Health and Safety

Risk Management

Employee Relations

Operations

Medical Services

Data Protection

Relevant Roles

Human Resources Manager

Occupational Health Nurse

Safety Officer

Risk Manager

Compliance Officer

Data Protection Officer

Employee Relations Manager

HR Business Partner

Recruitment Manager

Workplace Health Coordinator

Operations Manager

Factory Supervisor

Construction Site Manager

Healthcare Worker

Food Service Manager

Transportation Officer

Pilot

Maritime Officer

Emergency Response Personnel

Industrial Worker

Find the exact document you need

No matches found.

Recruitment Services Agreement

An Irish law-governed agreement setting out terms for recruitment agency services, including service scope, fees, and compliance requirements.

How Cambridge United Uses Genie AI to Speed Up Player Signings and Slash Legal Costs

Generate a Bespoke Document

Download a Standard Template

What is a Medical Declaration Form For Employees?

What sections should be included in a Medical Declaration Form For Employees?

What sections are optional to include in a Medical Declaration Form For Employees?

What schedules should be included in a Medical Declaration Form For Employees?

Authors

Alex Denne

Jurisdiction

Publisher

Document Type

Sector

Cost

Find the exact document you need

Recruitment Services Agreement

Payroll Form For Employees

Medical Examination Form For Employment

Employee Hiring Form

Employee New Hire Form

Certification Of Employment

Tax Form For New Employees

New Employee Details Form

Job Interview Evaluation Form

Abandonment Of Employment Letter

Letter Of Acceptance Of Employment

Asset Form For Employee

Hiring Form

Employment Details Form

Employee Termination Letter

Previous Employment Verification Letter

Online Employment Application Form

Letter For Bank Account Opening For Employee

Guarantor Letter For Employment

Seasonal Workers Application Form

Memorandum Letter For Employees

Medical Declaration Form For Employees

Self Employed Contractor Invoice

Evaluation Form For Employees

Employee Exit Clearance Form

Income Verification Form

Employee Information Form

Job Application Form

Job Letter

Self Employed Contract

Letter Of Employment

Job Registration Form

Demotion Letter

New Hire Employee Information Form

New Hire Form

Work Verification Form

Fixed Term Contract

Employment Verification Letter

Declaration Letter For Job Application

Clearance Certificate For Employee

Genie’s Security Promise

Your documents are private:

Your documents are protected:

Organizational security:

Use Cases

Generate Legal Docs Free