CONFIDENTIAL HEALTH DECLARATION
Data Protection Information
If you become a student at Stranmillis University College (SUC) this Declaration of Health will form the basis of your Occupational Health (OH) record. In compliance with the General Data Protection Regulation 2016/679 information will be held securely in confidence by the Occupational Health Provider (Independent Occupational Health), which may include computer storage.
The answers provided on this questionnaire will be confidential to Occupational Health and will not be disclosed to anyone without your consent.
Please complete and submit this form AS SOON AS POSSIBLE and no later than the commencement date of your degree course.
For Occupational Health Use Only
Student No ________________________________________________________
| Outcome of Assessment |
Date |
OHN Signature & NMC PIN No. |
|
|
|