Get Employee Med-track Questionnaire - Gocare Read Write - Gocare

This guide provides clear instructions on completing the Employee Med-Track Questionnaire to ensure proper medical documentation is maintained for those living or working abroad. Follow these steps to navigate the form efficiently and accurately.

Follow the steps to successfully fill out the questionnaire.

1. Press the ‘Get Form’ button to access the questionnaire and open it in the online editor.
2. Fill in your last name as it appears in your LDAP system, followed by your first name.
3. If applicable, provide the dependent’s last name and first name.
4. Indicate your sex and provide your birth date in the format day/month/year.
5. Enter your home phone number and nationality.
6. Complete your home address thoroughly, ensuring clarity and legibility.
7. Input your email address accurately to ensure reliable communication.
8. For employees, clearly state your company information including your business segment and country of assignment.
9. Check the appropriate boxes that apply to your employment situation, such as International commuter or mobile.
10. Fill in your GIN/employee number and position/job title.
11. Answer all health-related questions on the following pages honestly and accurately.
12. For medical history, check ‘yes’ or ‘no’ boxes for each condition listed, providing additional details where necessary.
13. Sign the consent form on page 4 to authorize access to your medical information and choose your examination preferences.
14. Once you have completed all sections, carefully review the information for accuracy.
15. Save your changes, and you will have the option to download, print, or share the completed form.

Complete your Employee Med-Track Questionnaire online to ensure your health data is accurately processed.