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… (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians … at LHSC and St. Joseph’s to complete health screen requirements, and will reside at the Occupational Health … (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians …
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...
… (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians … at LHSC and St. Joseph’s to complete health screen requirements, and will reside at the Occupational Health … (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians …
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...
… (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians … at LHSC and St. Joseph’s to complete health screen requirements, and will reside at the Occupational Health … (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians …
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...
… of your PRIMARY affiliation. OHSS will contact you if any requirements are outstanding. Professional … at LHSC and St. Joseph’s to complete health screen requirements, and will reside at the Occupational Health … of your PRIMARY affiliation. OHSS will contact you if any requirements are outstanding. Professional …
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...
… of your PRIMARY affiliation. OHSS will contact you if any requirements are outstanding. Professional … at LHSC and St. Joseph’s to complete health screen requirements, and will reside at the Occupational Health … of your PRIMARY affiliation. OHSS will contact you if any requirements are outstanding. Professional …
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...
… (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians … at LHSC and St. Joseph’s to complete health screen requirements, and will reside at the Occupational Health … (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians …
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...
… (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians … at LHSC and St. Joseph’s to complete health screen requirements, and will reside at the Occupational Health … (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians …
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...
… (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians … at LHSC and St. Joseph’s to complete health screen requirements, and will reside at the Occupational Health … (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians …
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...
… of your PRIMARY affiliation. OHSS will contact you if any requirements are outstanding. Professional … at LHSC and St. Joseph’s to complete health screen requirements, and will reside at the Occupational Health … of your PRIMARY affiliation. OHSS will contact you if any requirements are outstanding. Professional …
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...
… Revised 20160411 Page 2 of 4 Vaccination Recommendations/Requirements 1. Red Measles You require 2 doses of measles … current fit testing record along with your immunization requirements. • 3M model 1870/9210 • 3M model 8210 • 3M … they are signed by a physician or nurse) Immunization Requirements Vaccine/Titre Type Date yyyy/mm/dd Result Red …
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/...
… ability to accommodate. Vaccination Recommendations/Requirements 1. Red Measles You require 2 doses of measles … current fit testing record along with your immunization requirements. • 3M model 1870/9210 • 3M model 8210 • 3M … where you are completing your residency. Immunization Requirements Vaccine/Titre Type Date yyyy/mm/dd Result Red …
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...
… of your PRIMARY affiliation. OHSS will contact you if any requirements are outstanding. Professional … at LHSC and St. Joseph’s to complete health screen requirements, and will reside at the Occupational Health … of your PRIMARY affiliation. OHSS will contact you if any requirements are outstanding. Professional …
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...
… (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians … at LHSC and St. Joseph’s to complete health screen requirements, and will reside at the Occupational Health … (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians …
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...
… SCREEN Q & A’S 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 … Screen Form and contact you if there are any outstanding requirements. It is important to provide yourself 4-6 weeks …
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...
… SCREEN Q & A’S 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 … Screen Form and contact you if there are any outstanding requirements. It is important to provide yourself 4-6 weeks …
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...
… (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians … at LHSC and St. Joseph’s to complete health screen requirements, and will reside at the Occupational Health … (OHSS) at Victoria Hospital. OHSS will contact you if any requirements are outstanding. Visiting Elective Physicians …
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: Phone: Email: Emergency Contact Person: Contacts Phone: Prim...
August 2021 HEALTH REVIEW FORM Paid Staff Private Hire St. Josephs Mt. Hope Parkwood Institute Main Building Parkwood Institute Mental Health Care Southwest Centre To fulfill the terms and conditions of your employment offer, the following information must be provided to Occupational Health a...
… ability to accommodate. Vaccination Recommendations/Requirements 1. Red Measles You require 2 doses of measles … current fit testing record along with your immunization requirements. • 3M model 1870/9210 • 3M model 8210 • 3M … where you are completing your residency. Immunization Requirements Vaccine/Titre Type Date yyyy/mm/dd Result Red …
GUIDELINES FOR COMPLETION OF CITY-WIDE HEALTH SCREEN FOR VISITING ELECTIVES Revised 20160817 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...
… ability to accommodate. Vaccination Recommendations/Requirements 1. Red Measles You require 2 doses of measles … current fit testing record along with your immunization requirements. • 3M model 1870/9210 • 3M model 8210 • 3M … where you are completing your residency. Immunization Requirements Vaccine/Titre Type Date yyyy/mm/dd Result Red …
GUIDELINES FOR COMPLETION OF CITY-WIDE HEALTH SCREEN FOR VISITING ELECTIVES Revised 20160817 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...
… ability to accommodate. Vaccination Recommendations/Requirements 1. Red Measles You require 2 doses of measles … current fit testing record along with your immunization requirements. • 3M model 1870/9210 • 3M model 8210 • 3M … where you are completing your residency. Immunization Requirements Vaccine/Titre Type Date yyyy/mm/dd Result Red …
GUIDELINES FOR COMPLETION OF CITY-WIDE HEALTH SCREEN FOR VISITING ELECTIVES Revised 20190227 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...