Pre-Placement Exams Health Assessment
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Pre-Placement Exams Health Assessment 

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Pre-Placement Exams Health Assessment

Prior to your first day of orientation, you must complete a pre-placement health screen with Sentara Occupational Health. If you DO NOT have an appointment, call now to schedule (Monday - Friday  7:30 a.m. to 4 p.m. ).

Southside: (757) 507-0746
Peninsula: (757) 827-2153
Williamsburg: (757) 984-7440
Suffolk: (757) 934-4523
Northern Virginia:  703-523-1390

What to bring with you to this appointment:

At the time of appointment you must present a valid picture ID
You will need to bring an unexpired, government issued picture ID to the appointment. For most people this would be a driver's license, military ID card, or passport. If the name on your identification does not match the name on your application and social security card, please contact your recruiter to determine the best way to proceed. (Acceptable picture identification will be the same as indicated on the back of the I-9 form and must be current; if the identification you present is damaged and/or expired you will be unable to complete the pre-hire assessments).

Form Technical Details
You must have Adobe Reader to download these forms. Adobe Reader is free software that lets users view, fill and print filled in Adobe PDF files on all major computer platforms. Some of the forms are provided as "fillable" PDF files for your convenience. You must have at least Adobe Acrobat Reader 4.0 installed on your computer to view, complete and print fillable forms.
For "Fillable" PDF files: Acrobat Reader does not allow you to save what you key into the form, nor can you email the completed form—you should plan on completing and immediately printing completed forms. For some people, it may be easier to print and complete all of the forms by hand. You may do what works best for you.    

Form 1: Pre-Placement Health Assessment (Must be completed by all new hire candidates.)

NOTE:  Using a browser other than Internet Explorer such as Chrome, Safari, and Firefox MAY NOT allow proper submission of the Pre-Placement Assessment form.

PC Users
Use the Internet Explorer browser for best viewing and submission of forms.

Mac/Apple Users
Download the Adobe Reader plug-in for best viewing and submission of forms

- Click on the “Pre-Placement Health Assessment” form link below. 

- Answer all questions to the best of your ability.

- Once all requested information has been completed on the form, select SUBMIT (located at the bottom of the form).  

- If you do not receive a confirmation notice that your health assessment was submitted successfully, print out the completed form and bring it with you to your appointment.

Call to schedule an appointment with Occupational Health:

Southside: (757) 507-0746
Peninsula: (757) 827-2153
Williamsburg: (757) 984-7440
Suffolk: (757) 934-4523
Northern Virginia:  703-523-1390 

        Pre-Placement Health Assessment form

What Else to Bring to Your Health Assessment

 Immunization records, including MMR (Measles, Mumps, Rubella), Hepatitis B, Meningococcal, TDAP, Varicella (Chickenpox) and Tetanus OR laboratory results of immune titers for Measles, Mumps, Rubella, Varicella (this information may be obtained from your physician or previous health care employer). 

 List of any prescription/non-prescription medications you are currently taking.

 Documentation of your last TB skin test. This information may be obtained from your physician, school, or previous health care employer.

 If you have had a positive TB skin test in the past, bring any records related to this positive TB skin test with you including results of your most recent chest x-ray and documentation of your treatment with anti-tuberculosis medications from your personal physician or the health department.

 Picture ID (Acceptable picture identification will be the same as indicated on the back of the I-9 form and cannot be expired).

Important Information

Please allow at least an hour to complete your health screen, and arrive at least 15 minutes prior to the time of your appointment.

Once you have arrived for your appointment, please DO NOT leave the testing area until dismissed by the Occupational Health nurse.

To ensure their safety, please DO NOT bring small children to your appointment.

During you health screen you will:

  • Have your medical history reviewed with an Occupational Health nurse
  • Receive an assessment to determine your ability to do your new job
  • Receive information about any vaccines if required
  • Receive a tuberculosis skin test if needed
  • Receive other tests as required by the job offered.

During your Pre-placement Health Assessment you will also be required to complete a pre-employment drug test. Please DO NOT call the lab or Occupational Health about the drug screen results. If your drug screen is positive, a representative will contact you. If you are found to be ineligible for hire due to drug test results, you will be informed prior to your start date and you will be required to wait a minimum of 1 year before being considered for employment within Sentara. 
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