Referral form for HSE medical examination
for licensed or non-licensed asbestos work
The referring manager or HR advisor information
Please choose the type of asbestos medicals you require
Information about the Worker being referred for their asbestos medical.
Please forward this information to the worker/s
1. For clinic directions, please see: www.workableoh.uk/contact
2. ⚠️ Please do not attend if you have a new cough, fever or high blood pressure. The doctor will not be able to undertake the spirometry and issue the certificate.
Thank you.
Pre-paid clients: I confirm that I have read and agree to the terms and conditions as per the Booking and the Privacy and Data Protection Policies (www.workableoh.uk/policies)orContractual clients: This booking is made subject to the current OH Agreement.
For any questions or assistance, please contact us at [email protected] or call 07383496232.
I confirm that the employee is aware of this referral and the appointment date and time.
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