Get Bhsfoh Form 14/1 Referral To Occupational Health Form Section A ...

Filling out the BHSFOH Form 14/1 Referral To Occupational Health Form Section A is an essential step in the occupational health referral process. This guide will walk you through each section of the form to ensure a smooth and efficient online submission.

Follow the steps to effectively complete the form online.

1. Press the ‘Get Form’ button to access the BHSFOH Form 14/1. It will open the form in your browser, allowing you to fill it out online.
2. In Section A, start with the title (Mr/Mrs/Miss/Ms/Dr), followed by the individual's full name.
3. Enter the date of birth in the specified format, ensuring the information is accurate.
4. Provide the complete address, including street, city, state, and zip code.
5. Include both landline and mobile telephone numbers for contact purposes.
6. Input the name of the individual’s general practitioner (GP).
7. Fill in the company name where the individual is employed.
8. Provide the company telephone number for any necessary follow-up.
9. Indicate the date of referral to Occupational Health.
10. If the line manager is different from the referring manager, provide their name.
11. Enter the date of the appointment with Occupational Health, if it has been scheduled.
12. In Section B, summarize the reasons for the referral and any actions already taken, including specific dates of any sickness absence.
13. In Section C, describe the nature of the individual's job, including managerial responsibility, physical demands, shift patterns, and exposure risks.
14. In Section D, indicate the information required from Occupational Health, checking the relevant questions. Add any additional questions if necessary.
15. Complete Section E by confirming the discussion of the referral with the employee. The manager must sign and provide their email address, the date of the referral discussion, and the company address and contact number.
16. The employee must then complete their section, confirming they understand the reason for the referral and their right to a chaperone.
17. Finally, review all information for accuracy. Save the changes, and you may download, print, or share the completed form as needed.

Complete the BHSFOH Form 14/1 online today to help facilitate your referral to Occupational Health.