Medical Declaration Record

Medical Declaration Record

This medical declaration record:

  • Can assist you record details of a worker if they are taking prescribed medications at work.
  • Can be very easily edited and customized so you can create your own medical declaration record.


– Price Includes All Taxes


What is a Medical Declaration Record?

Medical Declaration

A medical declaration form record is a document that is used to provide information about an individual’s use of medication.

This form is used to assess whether the prescribed medication will affect a person’s ability to work safely and to avoid confusion about whether the person is using illicit drugs.

Prescribed Medication and Work

A prescription medication is licensed medicine that is regulated by law. Prescription medications are safe and effective when used as directed by a healthcare provider. However, misuse or abuse of prescription medications can lead to serious health consequences, including addiction and even death.

There are many different types of medications that can be prescribed by a healthcare provider. These can include medications for conditions such as high blood pressure, diabetes, or depression. Prescribed medications can also be used for short-term treatment of conditions such as pain or infections.

The risks of taking prescription medications depend on the type of medication and should only be taken as prescribed by a medical practitioner.

Contents of this Medical Declaration Record

This medical declaration record has provisions for recording details of prescribed medication inclusive of:

  • Worker taking the medication.
  • Take medication, as prescribed by.
  • Take over-the-counter medication.
  • This medication has the following brand or generic name.
  • The medication has or could have, the following side effects.
  • Relevant manager or supervisor details.

Why Choose to Buy this Medical Declaration Record

This 1-page medical declaration record can assist you record details of a worker if they are taking prescribed medications at work.

After purchasing this template you will be able to:

  • Very easily edit and customize the template to create your own medical record.
  • Apply your own style, format and brand to the record.
  • Use it in any industry or sector regardless of size or type of organization.

Availability and Use of this Medical Declaration Form

  • This template is accessible to you right now by clicking the ‘Buy Now’ button.
  • The form will be delivered to you in fully editable Microsoft Word format for immediate and full use in your business.
  • There are no subscriptions, contracts or ongoing costs.

Medical Declaration Record Guarantee

This Record is 100% Satisfaction Guaranteed.


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