Occupational Health

HOURS

  • Occupational Health
  • M, T, Th: 8:30am - 4:00pm
    F: 9:30am - 2:00pm

CONTACT

  • General Information

    301-314-8184

  • Emergency

    911

Located on the ground floor of the Health Center, the Occupational Health Service provides a number of work related services to employees.  Occupational Health works closely with the Department of Safety, Sustainability and Risk to create and maintain a safe and healthy work environment.

Services

  • Pre-placement form reviews and examinations for Animal Handlers, those working at the Reactor, employees who wear respirators and for some Departments.
  • Work related immunizations such as Hepatitis B, Tetanus/diptheria/pertussis and Rabies.
  • Medical surveillance for employees using hazardous materials, those with asbestos, silica, noise and pesticide exposure and those with certain laboratory exposures.
  • Initial and periodic health assessment for those in need of Department of Transportation certificates.
  • Consultation and education on occupational health concerns.

Occupational Health Forms

Animal Handler

Please review our Notice of Privacy Practices before completing the form below.

Please follow these instructions to complete your Animal Handler Medical Questionnaire.​​​​​​

 

Animal Handler Assessment

Initial Asbestos

Please complete each form included in this section and bring to your appointment

Initial Asbestos Form Respirator Evaluation

Periodic Asbestos

Please complete each form included in this section and bring to your appointment.

Periodic Asbestos Form Respirator Evaluation

Respirator Physical

Complete each form included in this section and bring to your appointment. 

Respirator Evaluation

Occupational Health (OH) History

Please complete each form included in this section and bring to your appointment.

Occupational Health (OH) History Form

Vaccinia (Small pox)

Please complete each form included in this section and bring to your appointment

Vaccine Request Form History and Consent Form Important Information About Vaccinia (Smallpox) Vaccine

Hepatitis B

Your position has been identified as one in which there is exposure to blood and body fluids.  We recommend that you receive Hepatitis B vaccine (three doses at time 0, 1 month and 6 months) to protect you from this blood-borne infection. 

Please complete the form below and upload it into myuhc.umd.edu with a message to Rebekah Giannakos with your preference about receiving the vaccine and dates of vaccination.  Alternatively, send the completed form via interoffice mail to Rebekah Giannakos, University Health Center. 

We will contact you to schedule the vaccine administration, if necessary.

Hepatitis B Vaccine Form

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