OHSP Forms

Initial enrollment

OHSP Enrollment Schematic (DOC)

OHSP Form 1 - Occupational Risk Assessment (PDF)

Students and/or workers must complete this form and attached fact sheet confirmation, and email to ORICS at comply@ksu.edu to ENROLL in the OHSP. Despite enrollment, you are not cleared until the Occupational Health Professional at Via Christi receives your OHSP Form 2, reviews, and sends your clearance form (OHSP Form 3) to ORICS.

OHSP Form 2 - Health Risk Assessment (PDF)

Students and/or workers must complete this form and email to Via Christi Occupational Health at Francis.Koopman@ascension.org as the second step in the OHSP enrollment process.

Annual reassessment

OHSP Annual Reassessment Process Schematic (DOC)

OHSP Form 4 - Annual Reassessment/Change in Health Status (PDF)

Every year, or if animal work or personal health status changes, personnel enrolled in the OHSP need to complete form 4 and return to comply@ksu.edu. If you have changes in your health status or animal activities, also complete Form 5 (below).

OHSP Form 5- Health Risk Reassessment Follow-up (PDF)

If you indicated a change in health or animal activity status on an annual reassessment (Form 4), complete and email this form to Via Christi Occupational Health at Francis.Koopman@ascension.org. You are not cleared until the Occupational Health Professional at Via Christi receives your OHSP Form 5, reviews and sends your clearance form (OHSP Form 3) to ORICS.