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Get UTEP EH&S Occupational Health Medicine Questionnaire 2018

Obtain information from individuals working with hazardous materials or potentially hazardous materials at UTEP. This form requires that you provide work history and some general health information. Your rights to the confidentiality of your personal health information will be strictly maintained by the Student Health Center and the Department of Environmental Health and Safety (EH&S). Section I. A. Animal Use/Work (check all that apply) 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) B. C. 1-3 times month.

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