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Forms for downloading

Medical questionnaire for the checkup

If you have an appointment for a health checkup, please download the medical questionnaire, print it out and complete it at home, then bring it with you on the day of your appointment. Your particulars will of course be treated in strict confidence by the ASTF physician.

Application for dispensation for pregnant women

The application must be duly completed by the employer and handed to the employee before the medical examination by the occupational physician.

Application for eyesight tests in the company

To enrol your company for eyesight tests, please clease click here for an online request.

Request for an examination

Please click here to apply for a recruitment examination or other medical examination.

Application for an examination after a prolonged absence

The employer and the employee are entitled to apply for a medical examination to be made by the appropriate occupational physician when work is resumed after an absence of more than six weeks because of illness or accident. Please complete the prolonged absence form and return it to us. We will then contact you to make an appointment