Pre-Employment Health Screening Request

This request is for university positions only.

In an effort to streamline the scheduling process, please provide four blocks of time you are available to complete your health screening. Please choose dates at least 5-7 days prior to your start date. Same day appointments cannot be accommodated. Appointment hours are between 7:30am and 3:00pm. You will receive a confirmation email once the appointment has been scheduled.

With area code. No dashes.
Date #1
Date #2
Date #3
Date #4
This request is for university positions only. MUHA employees and MUHA volunteers should not complete this form.