Application for support from Occupational Health & Safety and Environmental Service

* Mandatory field
This is a request for support from an occupational health physician, occupational health support worker or occupational social worker.

An occupational health support worker from the Department of Occupational Health and Safety and Environmental Service will review your request. The Front Office will then schedule a consultation with one of our professionals.

Formulate your request for help as comprehensively as possible without sharing any medical information, so that we can quickly schedule an appointment for you with the right professional.
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Reasons for application