Get Please Print Clearly Occupational Health---216-445-6200

Filling out the Please Print Clearly Occupational Health online registration form is a crucial step in your pre-placement health screening process. This guide provides a comprehensive overview of each section of the form, ensuring clarity and ease as you complete it online.

Follow the steps to complete your occupational health registration form online.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by entering your employee name in the designated field.
3. Fill out your current address, including the city, state, and zip code.
4. Select your title from the provided options by circling the appropriate choice (Dr., Mr., Mrs., Miss, or Ms.).
5. Input your cell phone number and other phone number in the respective fields.
6. Enter your email address in the appropriate field.
7. Provide your birth date in the specified format.
8. Enter your social security number in the designated area.
9. Circle your marital status from the options given (Single or Married).
10. Choose your sex by circling either Male or Female.
11. Select your race by circling the applicable option from the list provided.
12. Indicate your ethnicity by circling the appropriate choice. You may also choose to decline.
13. Review all information entered to ensure accuracy.
14. Save your changes, and you have the option to download, print, or share the completed form online.

Complete your pre-placement registration form online today to expedite your health screening process.