Path A · Screening for staff

Commission a screening for your staff

Commission occupational health screenings for one or several employees. Examination results go solely to the employees personally. You as the client only receive notification that the screening has been performed.

Certificates after the examination

Two certificates, clearly separated.

For the client

Confirmation of participation. By email with password, no medical details.

For the examined person

Certificate with details of the examination if applicable. Handed over on site, or encrypted by email if lab results come in later.

Commissioning company

Who commissions the examination? The invoice goes to this address unless stated otherwise.

Company name

Street + no.

Postcode

City

Department / site / location

Cost centre

Billing address differs from company address

Contact person

Whom does IBI contact for follow-up questions?

First and surname

Position / department

Phone (for follow-up questions)

Employees (up to 6 people)

List all employees to be examined. At least one row is required.

Surname

First name

Date of birth

Surname

First name

Date of birth

Surname

First name

Date of birth

Surname

First name

Date of birth

Surname

First name

Date of birth

Surname

First name

Date of birth

Remarks

Preferred appointment, special requirements or questions — all optional.

Remarks

Required confirmations

Both confirmations are required to submit the request.

By submitting this request you accept the General Terms and Conditions of the Institute for Occupational Medicine Isernhagen (IBI).

We usually respond within one working day with appointment proposals and a written confirmation.