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UW Occupational Health Requisition Form for Pre-Exposure Services

UW Occupational Health Requisition Form for Pre-Exposure Services 2025

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The document is a requisition form for the UW Occupational Health Program, designed to confirm employee eligibility for preventive health services related to occupational risks and exposures. It includes sections for employee information, appointment scheduling, potential occupational hazards, requested medical services such as vaccinations and evaluations, and consultation requests. Employees are instructed to bring the completed form to their appointment and consult with the Occupational Health Office for specific recommendations.

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