Health forms
This section lists forms related to the work of HSE appointed doctors and approved medical examiners of divers (AMEDs).
- AMED02 - Application for approval as a medical examiner of divers under the Diving at Work Regulations 1997
- AMED02R - Renewal of approval as a medical examiner of divers
- F2067 - Health record
- FODMS38 - Application for appointment as an appointed doctor under Regulations
- FODMS38R - Renewal of appointment as an appointed doctor
- FODMS75 - Medical Surveillance Questionnaire and Consent Form
- FODMS75 - Pilot form information sheet
- FODMS75 - Guidance on completing the form
- FODMS75 - Reference list
- FODMS75 - Information leaflet for people working with asbestos
- FODMS75 - Address label
- FODMS98 - Initial medical assessment (read only version for printing)
- FODMS99 - Surveillance record for person exposed to lead
- FODMS100 - Health surveillance record form
- FODMS101 - Clinical record
- FODMS102 - Notification to employer of biological test results and record of medical surveillance (read only version for printing)
- FODMS103 - Certification of unfitness/fitness (read only version for printing)
- Diver's medical record
- Blood lead return of workers under medical surveillance