305 Pier Street, Perth
6222 6622
reception@psmedical.com.au

HOME
OUR TEAM
SERVICES
PRE-EMPLOYMENT MEDICALS
- Pre Employment Medical Form
SCRIPT & REFERRAL REQUESTS
NEWS/BLOG
CONTACT
- New Patient Registration Form

HOME
OUR TEAM
SERVICES
PRE-EMPLOYMENT MEDICALS
- Pre Employment Medical Form
SCRIPT & REFERRAL REQUESTS
NEWS/BLOG
CONTACT
- New Patient Registration Form

Pre Employment Medical Form

Home
Pre Employment Medical Form

STEP 1:

MAKE APPOINTMENT through Health Engine under Pre Employment Medical or by phone (6222-6622).

STEP 2:

Fill out form below and submit. YOU CANNOT BRING THE FORM WITH YOU IT MUST BE COMPLETED STRAIGHT AFTER MAKING YOUR APPOINTMENT.

Name of Person Making Request *

First

Last

Date *

Candidate's Name *

First

Last

Appointment Date *

Appointment Time *

Employer's Name *

Project/Site Name *

Proposed Occupation *

Who should the results go to? *

First

Last

Email Address *

Where does the account go? *

Purchase Order Number *

Medical Assessments

Medical Assessment Level 1 - Medical assessment on Pier Street Medical paperwork
Medical Assessment Complex - Comprehensive Medical Assessment on Company specific paperwork
Audiometry - Audio assessment including legislative lodgement where applicable
WorkCover Audiometry - Audio assessment - legislative lodgement with WorkCover - Form 18 must be supplied
Spirometry - Lung Function assessment
Instant Drug Screen - Instant test cup
Drug & Alcohol Assessment - Laboratory assessment of urine
Musculoskeletal Assessment - Conducted by specialised staff to assess muscle strength, flexibility & function
GCMS - Gas Chromatography Mass Spectrometry - lab based confirmation of non-negative DNA screen by a Certified Laboratory
LCMS - Liquid Chromatography Mass Spectrometry - lab based confirmation of non-negative DNA screen by a Certified Laboratory

Specialised Medicals

Rail Assessment - Cat 1 - Complex medical assessment plus K10, audio, ECG, Epworth sleep scale, fasting bloods, cardiac risk score
Rail Assessment - Cat 2 - Complex medical assessment plus audio, K10 and Epworth sleep scale
Rail Assessment - Cat 3 - Complex medical assessment plus audio
Commercial Driver's License - Medical on Government of WA Department of Commerce specific paperwork plus audio
Shotfirers Medical - Medical assessment on client paperwork plus audio
Dangerous Goods Medical - Medical assessment on client paperwork plus audio
Asbestos Medical - Medical assessment level 1, plus x-ray and spiro

EXTRAS

Full Functional Capacity Assess - Extended assessment by our Physiotherapist
Chest X-Ray - For diagnosis of conditions of the thoracic cavity
ECG - Electrocardiograph for non-invasive recording of electrical activity of the heart
Lifestyle Questionnaire - K10, Epworth scale
Fatigue Management - Fatigue management assessment
Weekend Callout Fee

Name

Pre-Employment Medicals
Travel Medicine
Cosmetic Medicine

Pier Street Medical

Pier Street Medical

info@psmedical.com.au
305 Pier Street Perth
phone 08 6222 6622
fax 08 6222 6611

New Patient Registration Form

If you are a new patient, please download and fill in our Patient Registration Form.

Download Form

© Copyright - Pier Street Medical by finodesigns

Top

• COVID-19 Update January 2022

To ensure the ongoing safety of our staff and other patients while you are in the surgery, we request that you wear a mask (as per WA Government directive), maintain social distance, sanitise your hands regularly and wash your hands when necessary.

Please do not enter the surgery if you are sick with flu-like symptoms including fever, cough, headache, sore throat, blocked nose/sinuses, shortness of breath, loss of smell or taste.

OR

Have had contact with a confirmed or suspected case of COVID-19 in the last 14 days

OR

Have been at any of the current exposure sites listed on https://www.healthywa.wa.gov.au

OR

Travelled interstate or overseas in the 14 days

We request you call us to make a phone appointment instead.

To keep up to date with all things COVID
WA Government
https://www.wa.gov.au/government/covid-19-coronavirus

Where to get COVID-19 Vaccination?

Do web search for ‘Rollup for WA’ to find clinic near you.

https://rollup.wa.gov.au/

Where to be tested for COVID-19?

https://www.healthywa.wa.gov.au/articles/a_e/coronavirus/covid-clinics