Occupational Health Forms and Instructions

Animal Exposure Questionnaire

ROHP Animal Exposure Questionnaire is required of all persons enrolled in the Research Occupational Health Program.

Fax cover sheet for Animal Exposure Questionnaire. Please use this cover sheet to deliver your completed Animal Exposure Questionnaire to the Boynton Health Service Occupational Health Department via fax.

Immunizations

Authorization for the Release of Health Information. Please use this form to authorize your health care provider to release your immunization history to the Boynton Health Service Occupational Health Department.

If you choose to decline the rabies vaccine and/or toxoplasmosis titre, please download and complete the appropriate forms and return them to the Occupational Health Department at Boynton Health Service.

CDC Rabies Vaccine Information Please read this publication from the Centers for Disease Control and Prevention before declining the rabies vaccine.

Declination Form for Rabies Vaccination

Toxoplasmosis Information Sheet and Declination Form for Toxoplasmosis Titre

If you have any questions about this process, you may contact Occupational Health by email at OHBHS@umn.edu or by phone at 612-626-9423.