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Health Review Form Prof Staff, Residents, Clinical Fellows
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Residents, Clinical … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca St. Joseph’s Health Care London …
CITY-WIDE HEALTH SCREEN FOR PROFESSIONAL STAFF/RESIDENTS/CLINICAL FELLOWS Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency C...
Health Review Form Prof Staff, Residents, Fellows
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Residents, Clinical … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca St. Joseph’s Health Care London …
CITY-WIDE HEALTH SCREEN FOR PROFESSIONAL STAFF/RESIDENTS/CLINICAL FELLOWS Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency C...
Health Review Form Sept 2021
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Residents, Clinical … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca St. Joseph’s Health Care London …
1 CITY-WIDE HEALTH SCREEN FOR PROFESSIONAL STAFF/RESIDENTS/CLINICAL FELLOWS Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency...
Health Screen - Electives - September 2021
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Submit completed … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca 2 REQUIRED VACCINATIONS Red …
1 CITY-WIDE HEALTH SCREEN FOR VISITING ELECTIVES Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency Contact Person: Contacts P...
Health Screen Form
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Submit completed … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca 2 REQUIRED VACCINATIONS Red …
1 CITY-WIDE HEALTH SCREEN FOR VISITING ELECTIVES Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency Contact Person: Contacts P...
Health Screen Form
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Submit completed … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca 2 REQUIRED VACCINATIONS Red …
1 CITY-WIDE HEALTH SCREEN FOR VISITING ELECTIVES Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency Contact Person: Contacts P...
Health Screen Form - Medical Affairs Visiting Electives 2022
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Submit completed … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca 2 REQUIRED VACCINATIONS Red …
1 CITY-WIDE HEALTH SCREEN FOR VISITING ELECTIVES Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency Contact Person: Contacts P...
Health Screen Form - PS and Trainees
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Residents, Clinical … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca St. Joseph’s Health Care London …
1 CITY-WIDE HEALTH SCREEN FOR PROFESSIONAL STAFF/RESIDENTS/CLINICAL FELLOWS Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency...
Health Screen Form - PS and Trainees
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Residents, Clinical … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca St. Joseph’s Health Care London …
1 CITY-WIDE HEALTH SCREEN FOR PROFESSIONAL STAFF/RESIDENTS/CLINICAL FELLOWS Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency...
Health Screen Form - Visiting Elective 2022 Fillable
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Submit completed … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca 2 REQUIRED VACCINATIONS Red …
1 CITY-WIDE HEALTH SCREEN FOR VISITING ELECTIVES Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency Contact Person: Contacts P...
Health Screen Form - Visiting Electives
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Submit completed … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca 2 REQUIRED VACCINATIONS Red …
1 CITY-WIDE HEALTH SCREEN FOR VISITING ELECTIVES Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency Contact Person: Contacts P...
Health Screen Form - Visiting Electives
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Submit completed … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca 2 REQUIRED VACCINATIONS Red …
1 CITY-WIDE HEALTH SCREEN FOR VISITING ELECTIVES Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency Contact Person: Contacts P...
Health Screen Form PS and Trainees
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Residents, Clinical … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca St. Joseph’s Health Care London …
CITY-WIDE HEALTH SCREEN FOR PROFESSIONAL STAFF/RESIDENTS/CLINICAL FELLOWS Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency C...
Health Screen Form_MedicalStaff_20160411.pdf
… go to the link: https://www.londonhospitals.ca/departments/medical_affairs/post_grad/Orientation/HealthReview.php All … body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … to accommodate. https://www.londonhospitals.ca/departments/medical_affairs/post_grad/Orientation/HealthReview.php …
Revised 20160411 Page 1 of 4 GUIDELINES FOR COMPLETION OF CITY-WIDE HEALTH SCREEN FOR PROFESSIONAL STAFF/RESIDENTS/CLINICAL FELLOWS (MUST Provide Proof) Past LHSC/St. Josephs Record: Yes No Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/...
Health Screen Form-VisitingElectives_20160408_0.pdf
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … link https://www.sjhc.london.on.ca/sites/default/files/pdf/medicalaffairs_tbsurvey.pdf N95 Fit Testing Fit Testing is … 1860S https://www.sjhc.london.on.ca/sites/default/files/pdf/medicalaffairs_tbsurvey.pdf CITY-WIDE HEALTH SCREEN FOR …
GUIDELINES FOR COMPLETION OF CITY-WIDE HEALTH SCREEN FOR VISITING ELECTIVES Revised 20160108 Page 1 of 4 (MUST Provide Proof) Past LHSC/St. Josephs Record: Yes No Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Na...
Health Screen Medical Affairs - Professional Staff and Trainees
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Residents, Clinical … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca St. Joseph’s Health Care London …
1 CITY-WIDE HEALTH SCREEN FOR PROFESSIONAL STAFF/RESIDENTS/CLINICAL FELLOWS Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency...
Health Screen Medical Affairs - Visiting Electives
… body. For those with no regulatory body, the local Medical Officer of Health or OHSS can provide advice with … please go to the link: https://www.sjhc.london.on.ca/medical-affairs/resources/health-review Submit completed … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca 2 REQUIRED VACCINATIONS Red …
1 CITY-WIDE HEALTH SCREEN FOR VISITING ELECTIVES Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): First Name: Last Name: Gender: Date of Birth (YYYY/MM/DD): Family Physician: CPSO #: Phone: Email: Emergency Contact Person: Contacts P...
Health Screen Q&A
… MEDICAL AFFAIRS HEALTH SCREEN Q & A’S Q Should I complete … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca St. Joseph’s Health Care London … LHSC are to complete the Tuberculosis Questionnaire and Medical Affairs Tuberculosis Health Teaching Agreement found …
MEDICAL AFFAIRS HEALTH SCREEN Q & AS Q Should I complete the health screening requirements prior to my start date? A Yes. Every effort should be made to complete and submit the health screen requirements prior to your start date. Failure to do so may result in a delay to beginning your employment or...
Health Screen Q&A
… MEDICAL AFFAIRS HEALTH SCREEN Q & A’S Q Should I complete … 5W9 519-685-8500 ext. 52286 Fax: 519-685-8374 Email: OHSS-medicalaffairs@lhsc.on.ca St. Joseph’s Health Care London … LHSC are to complete the Tuberculosis Questionnaire and Medical Affairs Tuberculosis Health Teaching Agreement found …
MEDICAL AFFAIRS HEALTH SCREEN Q & AS Q Should I complete the health screening requirements prior to my start date? A Yes. Every effort should be made to complete and submit the health screen requirements prior to your start date. Failure to do so may result in a delay to beginning your employment or...