IRR Referral

 

Referral for Ionising Radiation Medical

 

This is a referral form for a medical under the Ionising Radiations Regulations 2017

 

Referrer's Information


 

Classified Worker's Information

Information about the Employee who is being referred to Occupational Health


 

Classified Worker

Required documents:

 

1. Upload completed Page One of Health Record (https://www.hse.gov.uk/forms/health/f2067.pdf)

2. Upload dose record (for previously classified workers)

3. Complete the Absence Record

Referer's declaration