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Employee Health Services Forms

HEALTH CLEARANCE REQUIREMENTS

Employee Health Services Forms

Information Sheet

Non County – For use by non-County workforce members to obtain employment within Health Services.

Pre-placement or Pre-assignment Health Clearance Packet

Non-County – Non-County- For use by contractor staff, affiliate students, volunteers and vendors who are not Health Services – county employees. In addition, to be used for other county employees working in Health Services facilities such as DPH, DMH, Sheriff and Coroner.

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Annual Health Screening Packet

Non-County – For use by non-County workforce members to obtain annual health screening clearance. Health screening clearance must be obtained each year on the same month of assignment date with Health Services.

EHS Policies

Health Screening – Non-County Workforce Members, No. 1728

Frequently Asked Questions

FAQ
Contact EHS
- Open Monday to Friday
- Closed on weekends and holidays

Health Clearance Requirements

EHS Requirements