Appointed doctor forms
General
- FODMS32 - Certificate of appointment as appointed doctor (not available online)
- FODMS38 - Application to be appointed as an appointed doctor under regulations
- FODMS38R - Renewal of appointment as an appointed doctor
Ionising radiation
Lead
- FODMS98 - Initial medical assessment
- FODMS99 - Surveillance record for person exposed to lead
- FODMS102 - Notification to employer of biological test results and record of medical surveillance
- FODMS103 - Certificate of unfitness/fitness
- Blood lead return of workers under medical surveillance
Asbestos
- FODMS72A - Certificate of Medical examination (not available online – contact HSE Headquarters)
- FODMS75 - Medical surveillance and consent form
- FODMS100 - Health surveillance record form
- Respiratory symptom questionnaire - licensed work with asbestos - Form MSLW1 - PDF version
- Address label for MS75 form