Medical Declaration Form

Medical Declaration Form

This medical declaration form:

  • Can be used to record the details of a person who is required to take medication, whether prescribed by a doctor or over-the-counter medication.
  • Can assist you record all the necessary details of a worker if they are taking prescribed medications at work.
  • Can assist you to assess whether the prescribed medication will affect a person’s ability to work safely and to avoid confusion about whether the person is using illicit drugs.
$2.50 - Includes 10% Tax
Description

What is a Medical Declaration Form?

A medical declaration form is a document that is used to provide information about an individual’s use of medication. This form is used to assess whether the prescribed medication will affect a person’s ability to work safely and to avoid confusion about whether the person is using illicit drugs.

Prescribed Medication and Work

A prescription medication is licensed medicine that is regulated by law. Prescription medications are safe and effective when used as directed by a healthcare provider. However, misuse or abuse of prescription medications can lead to serious health consequences, including addiction and even death.

There are many different types of medications that can be prescribed by a healthcare provider. These can include medications for conditions such as high blood pressure, diabetes, or depression.

Prescribed medications can also be used for short-term treatment of conditions such as pain or infections.

The risks of taking prescription medications depend on the type of medication and should only be taken as prescribed by a medical practitioner.

Why Write a Medical Declaration for Work?

There are a few reasons why an employer may ask an employee to complete a medical declaration for work including:

  • To assess your fitness for the job. Some jobs have specific physical or mental requirements that you must meet in order to be safe and effective in the role. A medical declaration can help the employer to determine if you have any health conditions that would make it difficult for you to meet these requirements.
  • To identify any potential risks to your health or the health of others. Some jobs involve exposure to hazardous materials or situations that could pose a health risk. A medical declaration can help the employer to identify any potential risks to your health and take steps to mitigate them.
  • To comply with legal requirements. In some cases, employers are required by law to obtain medical information from their employees.

If you are asked to write a medical declaration for work, be sure to read it carefully and answer all of the questions honestly. The information you provide will be used to protect your health and safety, as well as the health and safety of others.

Contents of this Medical Declaration Form

This medical declaration form has provisions for recording details of prescribed medication inclusive of:

Medical Declaration Form

  • Worker taking the medication.
  • Take medication, as prescribed by.
  • Take over-the-counter medication.
  • This medication has the following brand or generic name.
  • The medication has, or could have, the following side effects.
  • Relevant manager or supervisor details.

Why Choose to Buy this Medical Declaration Form

  • This 1-page medical declaration form can assist you record details of a worker if they are taking prescribed medications at work.

After purchasing this form you will be able to:

  • Very easily edit and customize the template to create your own medical declaration form.
  • Apply your own style, format and brand to the medical declaration form.
  • Use it in any industry or sector regardless of size or type of organization.

Availability and Use of this Medical Declaration Form

  • This form is accessible to you right now by clicking the ‘Buy Now’ button.
  • The form will be delivered to you in fully editable Microsoft Word format for immediate and full use in your business.
  • There are no subscriptions, contracts or ongoing costs.

Medical Declaration Form Guarantee

This medical declaration form is 100% satisfaction guaranteed.

You may also require: