The Medical Declaration Form For Employees is a crucial document in Australian workplace health and safety management, designed to comply with federal and state legislation including the Privacy Act 1988, Work Health and Safety Act 2011, and various state-specific health records acts. This form is typically used during pre-employment, after extended medical leave, or when specific workplace risks necessitate health information disclosure. It collects pertinent medical information that could affect an employee's ability to safely perform their duties while ensuring appropriate privacy protections are maintained. The document helps organizations fulfill their duty of care obligations while protecting both employer and employee interests in maintaining a safe workplace.
Your data doesn't train Genie's AI
You keep IP ownership of your information
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
OR
Let tiktok˰'s market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.
1. Employee Information: Personal details including full name, date of birth, employee ID, department/position
2. Privacy Notice: Statement explaining how the medical information will be collected, used, stored, and protected in accordance with the Privacy Act 1988
3. Purpose Declaration: Clear explanation of why the medical information is being collected and how it relates to the employment role
4. Current Medical Conditions: Section for declaring any current medical conditions that may affect work performance or safety
5. Medications: Declaration of current medications that may affect work performance or safety
6. Physical Capabilities: Assessment of physical capabilities relevant to performing job duties safely
7. Emergency Contact Information: Details of who to contact in case of medical emergency
8. Employee Declaration: Statement confirming the truth of provided information and understanding of obligations
9. Signature Block: Space for employee signature, date, and witness signature if required
1. Specific Risk Factors: Additional section for high-risk workplaces requiring specific medical information related to workplace hazards
2. Mental Health Declaration: Optional section for roles where mental health status is relevant to work safety
3. Vaccination Status: Section for declaring vaccination status when relevant to the role or industry requirements
4. Fitness Assessment: For roles requiring specific physical capabilities or fitness levels
5. Workers Compensation History: Declaration of previous workplace injuries or compensation claims where relevant to the role
1. Schedule A - Medical Conditions List: Comprehensive checklist of medical conditions requiring disclosure
2. Schedule B - Physical Requirements: Detailed description of physical requirements for the role
3. Schedule C - Privacy Policy Extract: Relevant extracts from the company's privacy policy regarding medical information
4. Appendix 1 - Healthcare Provider Form: Optional form for healthcare provider to complete regarding specific medical conditions
5. Appendix 2 - Risk Assessment Matrix: Matrix showing how different medical conditions may impact various job duties
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Mining
Construction
Manufacturing
Transportation
Emergency Services
Education
Childcare
Food Service
Agriculture
Aviation
Maritime
Public Service
Sports and Recreation
Security Services
Relevant Teams
Human Resources
Occupational Health and Safety
Risk Management
Compliance
Legal
Industrial Relations
Employee Relations
Workplace Health
Recruitment
Workers Compensation
Relevant Roles
Human Resources Manager
Occupational Health and Safety Manager
Risk Management Officer
Compliance Officer
Medical Review Officer
Employment Lawyer
Workplace Health Coordinator
Industrial Relations Manager
Personnel Manager
Recruitment Manager
Employee Relations Specialist
Health and Safety Representative
Workers Compensation Coordinator
Find the exact document you need
Self Declaration
An Australian legal document where an individual makes a formal written statement of facts, declared true under oath and witnessed by an authorized person.
find out more
Resident Declaration Form
An Australian legal document used to formally declare an individual's residency status for tax and regulatory compliance purposes.
find out more
My Health Declaration
An Australian legal document for declaring comprehensive health information, compliant with federal and state healthcare legislation.
find out more
Health Declaration Form
An Australian-compliant Health Declaration Form Template for collecting and managing personal health information with appropriate privacy safeguards.
find out more
Format For Self Declaration
An Australian statutory declaration template that provides a standardized format for making legally binding statements under the Statutory Declarations Act 1959.
find out more
Declaration Of Own Work
An Australian legal document where an individual formally declares and certifies the originality and authenticity of their work product.
find out more
Flight Declaration Form
An Australian aviation regulatory document for declaring flight details and safety compliance, required under CASA regulations for flight operations in Australian airspace.
find out more
Self Employment Declaration
An Australian legal document confirming independent contractor status and business arrangements under Australian contractor and taxation laws.
find out more
Airport Declaration Form
An official Australian border control document required for all international travelers entering Australia, covering customs, immigration, and biosecurity declarations.
find out more
Age Declaration Form
An Australian legal document for formal declaration of an individual's age, compliant with federal and state age verification requirements.
find out more
Age Declaration Certificate
An Australian legal document where an individual formally declares their age under statutory declaration requirements, witnessed by an authorized person.
find out more
Medical Declaration Form For Employees
An Australian-compliant medical declaration form for collecting and managing employee health information in accordance with privacy and workplace safety regulations.
find out more
Declaration Card
An Australian legal document required for all incoming travelers to declare items and information for customs, immigration, and biosecurity purposes.
find out more
Cargo Declaration
An official customs document required under Australian law that details cargo information for goods being imported to or exported from Australia.
find out more
Self Declaration Of Surviving Spouse Form
An Australian statutory declaration document where a person formally declares their status as a surviving spouse of a deceased person, used for legal and administrative purposes.
find out more
Supplier Declaration Form
An Australian jurisdiction compliance declaration document for suppliers to attest their adherence to legal, regulatory, and operational requirements.
find out more
Police Declaration Form
An Australian legal document for declaring criminal history status and consenting to police checks, complying with federal and state legislation.
find out more
New Declaration Form
An Australian legal document containing sworn statements made before an authorized witness, governed by federal and state statutory declaration laws.
find out more
Medical Declaration Form
An Australian-compliant form for declaring personal medical information, governed by federal and state healthcare and privacy laws.
find out more
International Declaration Form
An Australian customs document for declaring international shipments, complying with the Customs Act 1901 and related regulations.
find out more
Immigration Declaration Form
An official Australian immigration document requiring declarations about personal details, character, and health status, governed by the Migration Act 1958.
find out more
Employment Declaration Form For New Employee
An Australian-compliant declaration form for new employees capturing essential employment, tax, and superannuation information.
find out more
Declaration Of Trust Form
An Australian legal document that establishes and governs a trust arrangement, defining the relationships between trustees, beneficiaries, and trust property under Australian law.
find out more
Customs Declaration Form
An official Australian customs document required for declaring goods being imported into or exported from Australia, submitted to the Australian Border Force for customs clearance and regulatory compliance.
find out more
Statutory Declaration Partner Visa Applicant
An Australian legal document where a person formally declares the truth of statements regarding their relationship for partner visa purposes, subject to federal legislation.
find out more
Statutory Declaration Form For Sick Leave
An Australian statutory declaration form for formally declaring employee sick leave absence, compliant with federal legislation.
find out more
Updated Tax Declaration
An Australian tax document used to amend or correct information in a previously submitted tax return, complying with ATO requirements and federal tax legislation.
find out more
Self Certified Declaration Form
An Australian legal document where individuals declare statements to be true under oath, witnessed by authorized persons under the Statutory Declarations Act 1959.
find out more
Statutory Declaration Applicant Form
An Australian legal document under the Statutory Declarations Act 1959 where individuals formally declare statements as true before an authorized witness.
find out more
Superannuation Declaration Form
An Australian legal document for employees to declare their superannuation fund choice and provide necessary information for super contributions under Australian law.
find out more
Self Declaration Certification
An Australian legal document under the Statutory Declarations Act 1959 where individuals formally declare facts as true under penalty of law.
find out more
Resident Visa Declaration Form
An Australian legal document for visa holders to declare their residential status and compliance with visa conditions, governed by Australian immigration law.
find out more
Passport Self Declaration Form
An Australian legal document where passport applicants declare the truthfulness of their personal information and eligibility for passport issuance under Australian law.
find out more
Land Tax Declaration
An Australian statutory document for declaring property ownership details and land tax liability to state revenue offices.
find out more
Foreign Transfer Duty Declaration
An Australian statutory declaration document required for property purchases by foreign persons, submitted to state revenue offices to assess applicable transfer duty and foreign purchaser surcharges.
find out more
Primary Producer Declaration
An Australian legal document declaring and confirming an entity's status as a primary producer for regulatory, taxation, and commercial purposes.
find out more
Nominee Declaration Form
An Australian legal document where a nominee formally declares their role in holding assets or rights on behalf of a beneficial owner, complying with Australian corporate and financial services laws.
find out more
Dissertation Declaration
An Australian legal document accompanying thesis submissions where candidates declare research originality, ethics compliance, and adherence to academic standards under Australian law.
find out more
Declaration Letter
An Australian statutory declaration document that serves as a legally binding statement of facts, made under oath and witnessed by an authorized person under federal law.
find out more
Self Declaration Form For Medical Reimbursement
An Australian-compliant self-declaration form for claiming medical expense reimbursements through healthcare providers and insurance schemes.
find out more
ұԾ’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; ұԾ’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it
.png)