Health Review Requirements

Instructions for New Employees and Affiliates:

London Health Sciences Centre (LHSC), Thames Valley Children's Centre, Lawson Health Research Institute and volunteers

To fulfill the terms and conditions of your employment or volunteer offer, and to start work at LHSC, the following information must be provided to Occupational Health and Safety Services (OHSS) prior to your start date. If you are offered a position, the Health Review Form will be emailed to you. New employees with outstanding health review requirements will have their start date delayed.

Important Information about COVID-19 Vaccination:

In alignment with provincial public health recommendations, LHSC’s COVID-19 Vaccine Program Policy requires all staff and affiliates to receive the required number of COVID-19 vaccine doses unless medically contraindicated.  To be considered fully vaccinated, all new employees, affiliates, students, and volunteers must submit proof of 2 doses of a Health Canada approved COVID-19 vaccination, or 1 dose of COVID-19 XBB vaccine, administered at least 14 days prior to start date. 

What information is collected from the Health Review Form?

Health history that may impact an employee while at work, such as allergies/sensitivities to latex, rubber, environmental allergies/irritants, medications or food; skin breakdown associated with personal protective equipment (PPE); chronic health conditions such as heart or lung disease, diabetes, seizure disorder or musculoskeletal/MSK disorders. Limitations, restrictions or disabilities that may require accommodation such as a visual or hearing impairment, physical impairment or a learning disability. N95 Fit Test completed within the last two years is required for all employees with patient contact. Proof of current N95 fit tests should be submitted to More information is available at N95 Fit Testing. A hearing test is required for new staff working in roles identified as having a noise hazard.  

How to Submit the Health Review Form:

How to Submit the Health Review Form:

All submissions must be in pdf or hard copy format.  

OHSS does not accept pictures/images of your form or supporting documents.

The form can be submitted by one of three methods:

  • Email:
  • Fax:
    • Victoria Hospital - (519) 685-8374
    • University Hospital - (519) 663-3476
  • Drop Box:    
    • Victoria Hospital Occupational Health and Safety Clinic, E1-505
    • University Hospital Occupational Health and Safety Clinic, A1-450
When to submit a Health Review Form:

New employees are required to submit their Health Review Form to OHSS at least  seven business days prior to their start date.

Employees are advised to begin the process of acquiring any outstanding immunizations/tests of immunity by accessing their primary care provider (family physician or nurse practitioner) or a community clinic as soon as possible when considering employment at LHSC as it may take up to six weeks to complete these requirements. Employees who do not have a primary care provider can access immunization records from their local public health unit, college/university student health services or previous employer.  

Occupational Health and Safety Services (OHSS) does provide pre-employment vaccinations by appointment. New employees who have questions about their health review requirements can reach out to OHSS at:

Victoria Hospital

University Hospital

Have more questions regarding the Heath Review Form? Check out our Health Review Frequently Asked Questions page for more relevant information.