University of Michigan Hospitals U-M Occupational Health Services New Employee Health Assessment Form
NEW REG & TEMP EMPLOYEES MUST BE CLEARED IN ALL IMMUNIZATION AND MEDICAL SURVEILLANCE CATEGORIES PRIOR TO MTV ORIENTATION. HAVE THEM CALL OHS TO SET UP THEIR APPOINTMENT.
This form is NOT intended for printing purposes! Please complete the entire form and submit to OHS electronically by clicking on the submit button at the end of the form. Fill out all fields completely.
Note: Aramark employees must be processed through Occupational Health Service.