Get Unh Medical History & Risk Assessment Questionnaire For Persons Handling Or Working With Live 2017-2025

Filling out the UNH Medical History & Risk Assessment Questionnaire is a crucial step for those handling or working with live vertebrate animals. This guide will walk you through the process of completing the form online, ensuring all necessary information is accurately provided.

Follow the steps to complete the questionnaire online effectively.

1. Click ‘Get Form’ button to access the Medical History & Risk Assessment Questionnaire and open it for editing.
2. Carefully complete the general information section, including your last name, first name, date of birth, and current status. Make sure to check all applicable status options such as faculty, staff, student, or other.
3. Fill in your contact information accurately, including your email address and cell phone number.
4. In the section regarding contact with animals, provide the name and department of your principal investigator or advisor.
5. List all species of animals you expect to have contact with while working at UNH in the specified field.
6. In the animal handling risks and medical requirements section, check all applicable categories and supply the requested information, including the date of your last tetanus vaccine and necessary healthcare provider information.
7. Respond to the handler history questions candidly, noting any symptoms you experience while working with animals and indicating any major or chronic health problems.
8. Sign the questionnaire to confirm that you have completed it personally and provide the date of completion.
9. Once finished, save your changes, and you may choose to download or print the form for submission. Follow the submission instructions to send your completed questionnaire to the appropriate contact.

Complete the UNH Medical History & Risk Assessment Questionnaire online today to ensure compliance and safety.