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Pre Employment Health Assessment Questionnaire

This form is not required for medicals

Pre Employment Health Assessment Questionnaire

Details of organisation

Please enter the details provided by the employer

Applicant's details
Do you have or have you had any of the following?
Other details
Consent

Data Protection

Who we are

Occupational Health and Wellbeing and we will be carrying out your Medical.

Why we are collecting the data

We require you to provide this information so that our Clinician/Technician can review the information supplied to establish your current health situation and to identify any possible issues that may arise in undertaking your medical.

Who the data will be shared with

Your data will not be shared with any other parties. If further advice or the opinion of an Occupational Health Physician is required we will obtain your content to share the information prior to doing so.

How long it will be retained

Your information will be kept and stored electronically for 40 years after the end of your employment.

For further information or assistance on Data Protection matters, please contact the Council's Data Protection Officer at dpo@cornwall.gov.uk.

Read our full Privacy Policy