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Statement Of Health Form For Employment
"I need a Statement of Health Form for Employment for our Manila-based manufacturing company that will be implementing new health screening procedures from January 2025, with special focus on occupational hazards in industrial settings and compliance with recent DOLE guidelines."
1. Personal Information: Basic identification details including name, date of birth, address, contact information, and position applied for
2. Health Declaration Statement: Opening statement explaining the purpose of the form and legal basis for collection of health information
3. General Health Status: Current health condition, existing medical conditions, and regular medications
4. Medical History: Past significant illnesses, surgeries, and hospitalizations within a specified timeframe
5. Family Medical History: Relevant hereditary conditions that might affect work performance
6. Physical Fitness Declaration: Statement regarding physical capability to perform job duties
7. Occupational Health History: Previous work-related health issues or injuries
8. COVID-19 Health Declaration: Recent exposure, vaccination status, and related health information
9. Data Privacy Notice: Information about how the health data will be used, stored, and protected as per Data Privacy Act
10. Certification and Authorization: Declaration of truth and consent for verification of provided information
1. Disability Disclosure: Optional section for voluntary disclosure of disabilities requiring workplace accommodations
2. Mental Health Declaration: Optional section for mental health conditions that may require support or accommodation
3. Pregnancy Status: Optional section for female employees where relevant for workplace safety considerations
4. Vaccination History: Optional section for specific roles requiring certain immunizations
5. Emergency Medical Information: Optional section for emergency contact and critical medical information
1. Medical Examination Results: Attachment for official medical examination results if required
2. Vaccination Records: Copies of relevant vaccination certificates
3. Medical Certificates: Any supporting medical documentation from healthcare providers
4. Privacy Policy Details: Detailed information about data handling and privacy protection measures
5. Job Physical Requirements: Detailed description of physical requirements for the specific position
Authors
Employee/Applicant
Medical Information
Sensitive Personal Information
Medical History
Pre-existing Condition
Occupational Disease
Work-Related Injury
Medical Certificate
Healthcare Provider
Company Medical Officer
Authorized Representative
Confidential Information
Material Medical Condition
Reasonable Accommodation
Chronic Condition
Physical Examination
Medical Clearance
Fitness for Work
Data Privacy
Personal Data Processing
Health Declaration
Medical Emergency
Occupational Health Standards
Disability
Medical Treatment
Infectious Disease
Vaccination Status
Medical History
Data Privacy
Consent and Authorization
Confidentiality
Health Declaration
Medical Records
Disclosure Obligations
Certification
Information Verification
Privacy Rights
Medical Examination
Data Protection
Emergency Contact
Declarations and Warranties
Information Access
Record Retention
Physical Fitness
Health and Safety
Medical Confidentiality
Healthcare
Manufacturing
Construction
Food Service
Education
Transportation
Hospitality
Mining
Maritime
Aviation
Retail
Information Technology
Banking and Finance
Pharmaceutical
Chemical Industry
Human Resources
Legal
Compliance
Occupational Health and Safety
Risk Management
Medical Services
Operations
Employee Relations
Privacy and Data Protection
Recruitment
Human Resources Manager
Occupational Health Nurse
Health and Safety Officer
Compliance Officer
Medical Officer
HR Administrator
Risk Management Officer
Legal Counsel
Privacy Officer
Employee Relations Manager
Recruitment Specialist
Operations Manager
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