Employee Health Declaration
The purpose of this Health Declaration is to assess what adjustments you may require in order to undertake the position which you have been offered. The information you provide will remain confidential to HR. If the answer to any of the following questions is “Yes” HR may contact, you to discuss this further.
Do you have any health condition that affects you in the following ways or any of the conditions listed below? If so, please give full details including any treatment that you are currently receiving, have recently received, or are waiting to receive.