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Health Risk Assessment Form Template for Hong Kong

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Key Requirements PROMPT example:

Health Risk Assessment Form

"I need a basic Health Risk Assessment Form for my small medical clinic in Hong Kong, focusing on general health screening and chronic disease risk assessment, with particular emphasis on elderly patients and data privacy compliance."

Document background
The Health Risk Assessment Form is a crucial document used in Hong Kong's healthcare and occupational health contexts to evaluate and document individual health status and potential risk factors. It is designed to comply with Hong Kong's healthcare regulations, including the Personal Data (Privacy) Ordinance and Occupational Safety and Health Ordinance where applicable. The form is commonly used during pre-employment screenings, regular health check-ups, insurance assessments, and workplace health monitoring programs. It collects comprehensive health information including medical history, current health status, lifestyle factors, and specific risk assessments, while ensuring proper data protection and informed consent procedures are followed.
Suggested Sections

1. Personal Information: Basic identification details including name, ID number, date of birth, gender, and contact information

2. Consent Declaration: Statement of consent for data collection and processing, in compliance with the Personal Data (Privacy) Ordinance

3. Medical History: Current medical conditions, past surgeries, chronic illnesses, and family medical history

4. Current Health Status: Present symptoms, medications, allergies, and general health conditions

5. Lifestyle Factors: Information about diet, exercise, smoking, alcohol consumption, and sleep patterns

6. Vital Signs: Current blood pressure, heart rate, temperature, height, weight, and BMI

7. Risk Factor Assessment: Evaluation of key health risk factors based on collected information

8. Declaration of Truth: Statement confirming all provided information is true and accurate

Optional Sections

1. Occupational Health Screening: Additional section for workplace-specific health risks and exposures, used when the assessment is for employment purposes

2. Mental Health Assessment: Psychological health screening questions, included when mental health evaluation is required

3. COVID-19 Risk Assessment: Specific questions related to COVID-19 exposure and vaccination status, included during pandemic-related assessments

4. Specialized Medical Tests: Section for recording specific medical test results, used when additional medical examinations are required

5. Travel Health History: Recent travel history and related health risks, included for international health screening purposes

6. Pregnancy Status: Specific questions for female participants regarding pregnancy and related health factors, included when relevant to the assessment

Suggested Schedules

1. Appendix A - Medical Test Results: Detailed medical test results and laboratory reports

2. Appendix B - Risk Assessment Matrix: Standardized scoring system for health risk evaluation

3. Appendix C - Privacy Policy: Detailed information about data handling and privacy protection measures

4. Appendix D - Medical Terms Glossary: Definitions of medical terms used in the assessment

5. Schedule 1 - Follow-up Recommendations: Recommended actions, lifestyle changes, and medical follow-ups based on assessment results

6. Schedule 2 - Emergency Contacts: List of emergency contacts and relevant healthcare providers

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈ˰æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions


























Clauses




















Relevant Industries

Healthcare

Insurance

Manufacturing

Construction

Education

Financial Services

Hospitality

Transportation

Retail

Professional Services

Technology

Public Sector

Relevant Teams

Human Resources

Occupational Health

Health and Safety

Medical Services

Compliance

Risk Management

Employee Wellness

Legal

Insurance

Administration

Relevant Roles

Human Resources Manager

Occupational Health Nurse

Health and Safety Officer

Medical Officer

Company Doctor

Risk Assessment Specialist

Compliance Officer

Insurance Underwriter

Employee Wellness Coordinator

Occupational Therapist

Clinical Administrator

Healthcare Facility Manager

Privacy Officer

Corporate Health Director

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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