How can I get my medical medical evaluation?
Locations can use a local occupational health clinic (i.e. Job Care) or the UC Davis Occupational Health office, which will not charge, to obtain a respirator medical evaluation.
To use the UCD Occupational Health office to obtain a medical evaluation please do the following.
First go to this website link: http://safetyservices.ucdavis.edu/ps/occh/ohsf
There you will find 3 documents that need to be downloaded and fill in:
- Respirator Questionnaire
- Medical History Form
- Request & Authorization Form (leave the recharge # blank, boxes blank, and write in “ANR Respirator Medical Clearance” at the bottom of the form)
Then fax the completed documents to (530) 752-5277 with your return contact information. It should only take a few days to get the clearance back from Occupational Health. If possible please note on the fax cover page to have a copy of the medical clearance sent to ANR EH&S (firstname.lastname@example.org).
December 17, 2014