Occupational Health Service (OHS) at ZSFG

OHS ► COVID-19

Get the latest information on COVID-19 guideline, vaccination requirement, and work-related answers here.

OHS ► Blood and Body Fluid Exposure

Encountered blood & body fluid exposure at work? Do not worry, we are here to help.

OHS ► Tuberculosis

Looking for annual TB test information? or are you a new hire of City & County of San Francisco looking to get your TB tests done? Read and click here for more information.

OHS ► N95/Respiratory Protection Program

Learn about N95/Respiratory fit test and what you might to know before your next fit test.

OHS ► SF Municipal Transit Agency (MUNI) Medical Examination Report Area

These forms are for SF MUNI operators/agency.

OHS ► Audiometry Area

This area is for those who are in the Hearing Conservation Program (HCP). Learn about this program and the audiometry service we provide here.

OHS ► Authorization For Use or Disclosure of Protective Health Information Form

If you need a record of your protected health information (PHI), please download, print and complete this form and present it to our office.

OHS ► Medical History Form

Fill out this form if you are visiting us for the first time (Initial Visit).

OHS ► Interim Exam Questionnaire

If you are returning to our clinic, please fill out this form (For Return Visit).

OHS ► Credentialing

All applicants (new and reappointments) are required to submit proof of immunity for certain communicable diseases. ZSFG Medical Center requires that you also have annual Tuberculosis screening and N95 fit testing to work in-patient care areas.

OHS ► Blood and Body Fluid Exposure Lab Form

(Source Patient Lab Requisition Form)

OHS​​​​​​​ ► TB Surveillance Form

Please fill out the demographic, TB history, and symptom review areas before you come in and we will take care of the rest for you.

OHS​​​​​​​ ► N95 Respirator Fit Test Record Sheet

This form can be used by N95 Champions on ZSFG campus to record N95 fit test results for your department staff.

OHS ► Respirator Medical Online Questionnaire

Submit this online questionnaire ONLY IF this is your FIRST TIME getting fitted for a N95/PAPR respirator. This questionnaire is to be used by Department of Public Health (DPH) employees only. If you are from a different department, give us a call (628-206-6581).

OHS ► Respirator Medical Paper Questionnaire

Submit this paper questionnaire only if this is your FIRST TIME getting fitted for a respirator. This questionnaire can be used by all employees of City & County of San Francisco departments.