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Call 434.243.0075

Forms

  • Authorization for Release of Medical Information Form
  • History of Positive PPD Assessment Form
  • Influenza Vaccination Declination Form
  • Medical History Form for Non-UVA Employees
  • Medical History Form for UVA Employees
  • CDL Medical Exam Form
  • Bus Driver Physical Form
  • Respiratory Questionnaire / Patient Contact
  • Respiratory Questionnaire / Non-Patient Contact
  • Respiratory Fit Testing and Training Document
  • Authorization for Release of Occupational Health Records

Resources

Occupational Health Resources

  • Centers for Disease Control and Prevention (CDC)
  • Occupational Safety and Health Administration (OSHA)
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  • Virginia Worker's Compensation Commission
  • Virginia Department of Health
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