Rosebank Private Medical Services are an Occupational Health provider and we are responsible for safeguarding the privacy of your information. We fully comply with the provisions of the General Data Protection Regulation (GDPR) with regard to ‘personal data’ within our control. Please click here to see our Privacy Statement for more information.
Occupational Health Referral Form
Please complete this form if you wish to make a management referral to see an Occupational Health Nurse or Physician. Once we have received your referral we will contact you with available appointments.
Pre-Employment Form - New Employee Screening
Our Pre-Employment questionnaire enables our clinicians to identify employees with health related problems which may impact upon their future work fitness.
Please make sure you have been given your companies reference number, you will need this to complete the form.
We will also require a copy of your immunisation history which you can obtain from your Drs surgery. We cannot complete any pre employments until the immunisation history has been sent to us.
Due to staff shortages we are not currently offering a vaccination service. We apologies for any inconvience and will be back asap.
If you are due to travel abroad soon and not sure on what vaccinations you require, please complete this travel questionnaire. Your completed form will be passed to one of our nurses, who can recommend what vaccinations you may require.
Please try to give as much notice as possible. Some vaccinations need to be administered 8-6 weeks before travel.
Take a look at our Travel page for more information