Instructions to Candidates:

This online form is to be filled out only by the candidate who is applying for the position.

The personal medical information you supply within this document may be provided to your prospective employer. We appreciate your co-operation in providing this information as accurately as possible.

Although some of the information asked for in this assessment may not seem relevant, the questions have been carefully chosen to enable the doctor to conduct a thorough assessment of your health and wellbeing in order to ensure that your job placement and subsequent duties will not expose yourself or others to an undue risk of illness or injury.