Occupational Health Referral Form

Please complete the secure Referral Form to request an Occupational Health Assessment to enable us to support you and your employee with health concerns affecting work. 

Once the form has been completed, it will be sent directly to our Admin team. The employee can expect to be contacted with a suggested appointment within 2 working days of receipt of the Referral form. 

The form is simple to complete and has suggestions for questions you might like answered in the report written following the assessment. A maximum of 5 questions, selected from these options or specified by you, are included in the assessment cost. If more than 5 questions are required, this will incur a further cost.

If you have any questions,
we are here to assist you

Please feel free to get in touch with us for answers.