Electronic Application for Mandatory Health Examination (OVP) for Companies on Site

To apply for MHE, please fill out the form and we will contact you within 3 working days after receiving the application, calling the phone number you provided. Therefore, please make sure you have entered it correctly!

Please note!

We inform you that we call no more than 5 times within 5 days.

IMPORTANT!
If you have returned from abroad in the last 14 days or have been in contact with someone who has returned or fallen ill with COVID-19, you must not come to MFD Health Group branches! Let's be responsible and not allow the virus to spread!

Electronic application for mandatory health check (MHE) for Companies on Site
Name *

Contact phone *

E-mail *

Confirm E-mail *

Company

Number of employees (for MHE service)

Health hazardous work environment factors (e.g. 4.9.1 etc.)

Work in special conditions (e.g. 1.; 2.; 3. etc.)

Insurance Policy (if any, specify) for the payment of the OVP Contract

Medical Health exam in connection with (mark as necessary):
initial health check
extraordinary health check
periodic health check

Preferred date for MHE service *

I have read the above information *

* Required fields

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