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Pre Employment Medical Form

This Pre Employment Medical Form can be used to ensure a prospective employee is able to perform the inherent requirements of the job, or to identify any reasonable adjustments needed to help them adequately perform their role.

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5.0 (5 reviews)

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Last updated December 20, 2024

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Under 5 minutes

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Suitable for Australia

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Written by

Edwin Montoya Zorrilla

Reviewed by

Damin Murdock

Document Overview

This form should be used before an offer is made, and should not be used to deny employment to someone due to a disability, illness or injury if it doesn’t impact their ability to complete the role. 

The Legal Risk Score of a Pre Employment Medical Form Template

Our legal team have marked this document as low risk considering:

  • There is a risk that the information disclosed by an applicant could be used to assess their suitability for employment, which may inadvertently influence employment decisions if not handled with strict adherence to nondiscrimination laws.
  • The document requires applicants to disclose any pre-existing conditions that could impact their ability to perform the job, which might deter applicants with disabilities or health issues from applying due to concerns about bias or privacy.
  • Information from the health declaration can be shared with legal advisers, which raises the possibility of personal health information being exposed beyond the immediate hiring process.

Overall, this document carries moderate risk primarily due to the sensitive nature of the health information collected and the potential for misuse or unauthorised disclosure. Users familiar with employment and privacy laws will better navigate these risks, ensuring that they maintain compliance and handle sensitive information appropriately.

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Pre Employment Medical Form Checklist

Complete your free Pre Employment Medical Form with our checklist

Confirm Accuracy of Information

Ensure that all the information provided in the health declaration is accurate and truthful to avoid any future complications or legal issues.

Secure Submission

Submit the completed health declaration form securely to the designated person or department to maintain confidentiality and privacy.

Update as Necessary

Regularly update any changes in health status to the employer as mandated by the document to keep them informed about your capacity to meet the job requirements.

Review Privacy Practices

Familiarize yourself with the company’s privacy policy regarding the handling and storage of personal health information to ensure your data is protected.

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Use this Pre Employment Medical Form if:

  • You have not yet offered the role to someone and would like to make sure that the prospective employee does not have any health or capacity issues that would prevent them from being able to fulfil the key requirements of the role; or
  • You would like additional details of any restrictions or reasonable adjustments needed to help the prospective employee perform the role before making an offer.

What does this Pre Employment Medical Form cover?

  • Purpose of the Pre Employment Medical Form;
  • Personal and contact details of the prospective employee;
  • Any circumstances affecting the health or capacity of the individual to perform the role;
  • Any injuries or conditions impacting on the individual’s ability to perform the key requirements of the position;
  • Any reasonable adjustments recommended by the individual to assist with performing the role; and
  • Consent to a health assessment by a company nominated medical practitioner, or disclosure of relevant information by their personal medical practitioner.

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