The need for any of the following forms depends on the department’s identification of specific job duties covered by the University of Florida’s Occupational Medicine Program. This can be done both during the hire process and during a change of duties process.
For those individuals hired on a specific position, the job duties are identified by position number in myUFL’s position information on the UF Hr Position Data tab.
(Navigation: Organizational Development, Position Management, Maintain Positions/Budgets, Add/Update Position Info)
For those individuals hired with no position attached (OPS or volunteers), the job duties are identified outside of PeopleSoft on the form
Job-Related Health Risk Checklist for Individuals Not On Positions (see INOP Form below).
Health Assessment Matrix can be filtered for applicable job duties and display one-page worksheet.
UF Employee Preplacement Health Assessments: Policies and Procedures lists job duties and health assessment components.
OCCMED Clinic requires submission of the Payment Authorization Form prior to scheduling appointment in order for services to be rendered.
FORMSAll job duties for positions assigned numbers Acrobat Supervisor Checklist for determining need for health assessment
All job duties for OPS and volunteers Acrobat lNOP Form (Individuals Not On Positions)
All job duties Acrobat Candidate Waiver Request Word Word
All job duties for outside the Gainesville area Acrobat Fax Cover Sheet (for Medical Record Transfer)
All job duties except Animal Contact,
Contact with Human Blood, Noise and Patient Contact Acrobat Physical Exam and Medical History
Animal Contact Acrobat Risk Assessment for Animal Contact
Email Completed Risk Assessment Forms to:Acrobat Initial Medical Questionnaire
Acrobat Periodic Medical Questionnaire
Acrobat Review for Respirator UseAcrobat BioPath: Biohazard Medical Monitoring Authorization Form
Acrobat Training and Vaccination Form
Law Enforcement Acrobat Hepatitis A Vaccination Form
Noise Acrobat New Hire Questionnaire
Acrobat Medical Update FormPatient Contact Acrobat Preplacement Screening Patient Contact Form
Acrobat TB Surveillance FormPatient Contact for Residents Acrobat Preplacement Screening Patient Contact Form
Acrobat TB Surveillance FormPesticide Use Acrobat Medical History Questionnaire for Pesticide Use
Respirator Use Acrobat Review for Respirator Use
Acrobat Diver Medical Evaluation of Fitness Word Word