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Communicable disease assessment 2026
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- Click ‘Get Form’ to open the Communicable Disease Assessment in the editor.
- Begin by entering your Last Name, Given Name, and Birthdate in the specified fields. Ensure accuracy as this information is crucial for your health records.
- Fill in your Primary and Alternate Contact Numbers, Personal Email, and Home Address. This information will help AHS reach you if necessary.
- Provide your AHS Employee Number (if available), Start Date, Department, City, Province, Postal Code, Title/Position, AHS Site/Facility, and AHS Zone.
- Indicate whether you have been previously employed by AHS. If yes, provide the Dates of Service and Location/Facility.
- Complete the Communicable Disease History section by answering questions about past diseases like Varicella. If applicable, note the age at which you had it.
- Attach copies of your current immunization records for various diseases as listed. Ensure all relevant documents are included for a comprehensive assessment.
- Consent to allow access to your electronic records by checking 'Yes' or 'No' regarding your Personal Health Number.
- Finally, declare that the information provided is accurate by signing and dating the form before submission.
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