Annual Self Assessment Forms Documents Available for Download
- Employee Self-Health Assessment (.pdf)
- Tuberculosis Review (.pdf)
- OSHA Respirator Medical Evaluation Questionnaire (.pdf)
- Respirator Certification (.pdf)
- Pre-Placement Physical Form - updated 4/23/2025
- Hepatitis B Vaccine Declination - updated 3/29/2022
- Flu Declination (.pdf)
- Flu Declination (online) - updated 9/3/2025
Email completed form to:
SBUH HR Employee Health and Wellness @ sbuh_hr_employee_health_and_wellness@stonybrookmedicine.edu