Get Health Screening Report - Facility Personnel All Personnel, Including Applicant, Licensee Or

The Health Screening Report for Facility Personnel is a vital document required for ensuring that all staff meet health standards necessary for their roles. This guide provides comprehensive instructions on how to fill out the form correctly and efficiently online.

Follow the steps to complete your health screening report online.

1. Click ‘Get Form’ button to access the form and open it in your preferred editing tool.
2. Begin by filling out the facility information, including the facility name and address in the designated fields.
3. Enter the person's name, age, position title, type of facility, work days per week, and work hours per day as applicable.
4. Under the types of persons served section, check all appropriate items that apply to the facility, such as adults, infants, children, or elderly.
5. Complete the authorization for release of medical information by providing the address, date, and signature of the applicant, licensee, or employee.
6. In the evaluation sections, ensure the physician reviews and provides feedback on the individual's general health and ability to perform the duties listed in the duty statement.
7. Document any health conditions that could pose a hazard to the person, clients, children, or other personnel as noted by the physician.
8. Record the date of the T.B. test and the date of the health screening.
9. Ensure the physician includes their name, stamp, original signature, and telephone number in the designated sections.
10. Once all fields are completed, save the changes, and you can download, print, or share the form as needed.

Complete your health screening report online to ensure compliance and safety for all facility personnel.