About this template
A pre-employment physical form is an essential tool for gathering critical health and medical history data from candidates who have received a job offer. This standardized template helps organizations document baseline health statuses, verify physical capability for specific job duties, and ensure a safe working environment for all staff members.
Designed for HR professionals, hiring managers, and occupational health teams, this form collects comprehensive details including vital stats, medical history, vaccination records, current symptoms, and emergency contact details. By standardizing this intake process, companies can efficiently manage pre-placement requirements while maintaining organized digital records for every new hire.
Doc2Form makes it easy to deploy this assessment directly through Google Forms, ensuring all submissions are securely routed to your team's workspace for rapid review. Whether you are onboarding staff for heavy industrial work, healthcare roles, or general office positions, this template provides a clear, professional framework for health screenings.
Key features
- Collect detailed medical history and vaccination records in one step.
- Standardize physical capability and lifting capacity assessments.
- Streamline new hire onboarding with structured Google Forms intake.
- Easily customize sections to match your company's specific health policies.
Use cases
Screening job candidates for physically demanding industrial or const…
Screening job candidates for physically demanding industrial or construction roles.
Collecting required health disclosures for healthcare and childcare s…
Collecting required health disclosures for healthcare and childcare staff.
Documenting baseline medical records during corporate onboarding.
What this form collects
- Full Name (Short answer)Enter your first, middle, and last name.
- Phone Number (Short answer)Provide a reliable phone number where we can reach you.
- Email Address (Short answer)Enter your primary email address.
- Date of Birth (Date)Select your date of birth.
- Job Title (Short answer)Enter the position you have been offered.
- Department / Company (Short answer)Enter the department or company division you will be joining.
- Medical History & Health Details (Paragraph)Provide details regarding any past surgeries, chronic conditions, or ongoing treatments.
- Current Symptoms or Conditions (Checkboxes)Select any symptoms or conditions you are currently experiencing.
- Vaccination Records (Paragraph)List your recent vaccinations or attach verification documents below.
- Daily Lifting Capacity (lbs) (Dropdown)Indicate the maximum weight you are comfortable lifting regularly as part of your job duties.
- Required Medical Devices (Short answer)Describe any medical devices (e.g., hearing aids, corrective lenses, braces) you require daily.
- Medical Document Link (Paragraph)Please paste a link to your physical exam results file (Google Drive, Dropbox, etc.) or describe the attached document.
- Applicant Signature (Short answer)Type your full legal name to certify that the information provided is accurate and complete.
- Signing Date (Date)Select today's date.
FAQ
What is a pre-employment physical form used for?
It is used by employers to collect necessary health and medical history from potential hires to ensure they can safely perform the physical demands of the job.
Can I customize the questions on this Google Form template?
Yes. Once you generate the form using Doc2Form, you have full control in Google Forms to add, remove, or edit any questions to fit your company's requirements.
How do I share this form with job candidates?
You can send the Google Form link directly via email, include it in your applicant tracking system onboarding workflow, or embed it in an email invite.
Are physical form submissions stored securely?
All responses are saved directly to your organization's Google Drive and connected Google Sheets, allowing you to manage access permissions according to your internal data policies.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.