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Registration medical screening
Waaldijkstraat 115 HCS building; tel: +597-470200 open Monday- Friday 8am- 1pm
This is the Health Control Services pre-registration form for medical screenings. If a candidate did not pass the medical screening, the candidate has 90 days to complete it, counting from the day of the first test.
For more information or assistance, please email info@hcs.sr or call +597- 470200
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Candidate info
Preferred appointment date and time
*
Candidate name
*
First Name
Family Name (only maiden name)
Date of birth
*
-
Day
-
Month
Year
Date Picker Icon
Sex
*
female
male
ID number
*
Function of the candidate
*
Administrative/ Mechanic/ Helper/ Housekeeping/ Warehouse
Operator/ Driver
Kitchen/ Foodhandler
Security/ ERT team
Other
Function Title
*
Type of medical screening
*
HCS basic
HCS mobile (ECG, audio and vision incl)
BOG foodhandler
OEUK / OGUK
OEUK / OGUK + Foodhandler
OEUK / OGUK incl diving/ T Bosiet
Audio test
ECG test
Spirometry test
Vision screening test
Policlinic consult (GP)
Validation of sickleave
MAS / Seafarer
Drug test
Other
Type of drug screening
*
5 panel
12 panel
14 panel
6 panel
Other
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Submitter info
Company name
*
Name submitter
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Payment through
*
Debit card payment
Internet banking
Cash
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All candidates must register with us at the HCS office, Waaldijkstraat 115. From here they may be referred for further testing.
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