Pre-employment medical questionnaire form template

Name: Pre-employment medical questionnaire form template | Jun 26
Brand: HRDocBox
SKU: HRDBOX-207
Price: 7.90 GBP
Availability: InStock

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Pre-employment medical questionnaire

[Employees starting jobs that involve work with hazards (e.g. sensitising chemicals, allergens etc) or safety-critical activities (e.g. night work, driving a vehicle etc) must complete and return this medical questionnaire before commencing employment.]

An answer must be provided for all questions. The information will be treated in confidence by the Occupation Health Adviser.

PLEASE COMPLETE IN CAPITAL LETTERS

Position applied for:

Personal details

Title:	Mr \| Mrs \| Ms \| Mx \| Dr \| Other
Full Name:
Address:
Contact telephone:
Date of birth:

GP details

GP name:
Address:
Telephone:

Occupational hazard history

Please note the job titles, dates, and nature of any known hazards to which you have been exposed.

Medical history

Please complete the following questions by ticking the appropriate box. If the answer is yes, give details including (a) date, (b) amount of time lost from work/school, (c) treatment, as appropriate.

Visual defects/eye conditions (including colour-blindness):	Yes \| No
Hearing defects/ear conditions:	Yes \| No
Severe anxiety, depression, other psychiatric disorder:	Yes \| No
Paralysis or other neurological disorder:	Yes \| No
Fainting attacks, blackouts, epilepsy or fits:	Yes \| No
Recurrent headaches, migraine:	Yes \| No
Vertigo, giddiness or tinnitus:	Yes

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Use

This information can be assessed by OHS advisers or other qualified personnel, who can:

Assess the candidate's medical capability to do the job for which they have applied: this will include assessing whether there are any statutory and legal reasons why an individual may not carry out particular work: for example, health and safety regulations would mean that a candidate with epilepsy would not be allowed to undertake a post involving driving; and
Provide advice to departments to ensure that none of the role's duties will adversely affect any pre-existing health conditions the candidate has declared.

The Pre-employment medical questionnaire form template should be actioned / delivered as soon as reasonably practical.

Frequently Asked Questions

Can I use this in my small business?

Yes. The Pre-employment medical questionnaire form template is designed to be flexible and suitable for organisations of all sizes, including small businesses and charities. It follows UK employment law best practice, so even if you don't have an in-house HR team, you can confidently apply it.

Is it compliant with 2026 UK employment law?

Absolutely. As with the Pre-employment medical questionnaire form template, all of our templates are drafted with the latest ACAS guidance and UK employment legislation in mind. We review and update them regularly, so you can be confident they remain compliant.

Can I customise it for my organisation?

Yes, we highlight the areas of the Pre-employment medical questionnaire form template that you need to update with your own details, and where you need to make decisions to suit your situation. This saves you time and ensures that you meet best practice.

Do I get instant access to it?

Yes. Once purchased, you'll be able to download the Pre-employment medical questionnaire form template instantly. Templates are provided in editable Word or Excel format so you can customise them easily, and in PDF format for easy sharing.

What if I need more help, not just this template?

If you're looking for broader support, we also offer toolkits and library bundles that include the Pre-employment medical questionnaire form template, along with other HR templates and policies for fully managing your situation. These may be more cost-effective if you need deeper advice.

Why should I use this Pre-employment medical questionnaire form template, and not AI to generate it?

The risk of using a free AI-generated template 'without review' includes your legal exposure, missing context, and no awareness of the wider process, whereas purchasing the Pre-employment medical questionnaire form template from us mitigates that risk.