Employee Medical Form Template

Gather details about your current and new employees' medical history using this employee medical form template. Customize to include questions you want to ask from your workforce.

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Understanding Employee Medical Form Template

With the template, you can now collect and learn more about your employees' medical information for record-keeping and emergency usage. It will help you be prepared in case any action is needed for quick-response medical conditions such as severe allergies and more. The template also streamlines the information collection process and makes it easier to access.

To use this Employee Medical Form Template, just sign up or sign in to Zonka Feedback. You’ll be able to choose this template when you begin creating your feedback form or survey. Customize today and start collecting.

7 Questions

7Screens

1 min 30 secs to complete

List of Employee Medical Form Template Questions

The following questions are included in the Employee Medical Form Template:

Firstly, what's your name?
And your company email address?
What's your home address?
Who's your emergency contact?
And what's their phone number?
If you've got any allergies, list them here.
Do you suffer from any of these?

Sign Up on Zonka Feedback for free and implement this Employee Medical Form Template in your account to collect information from employees.

Create and send this Employee Medical Form Template