Pre-Placement Health Assessment (PPHA)

Dear Employee,

Welcome to Mackenzie Health!

To ensure the safety of our staff and patients, Mackenzie Health requires all workers to provide the Occupational Health and Safety Department (OHS) with medical history and vaccination status information, in compliance with the Ontario Hospital Association guidelines and our hospital policy.

To help you meet the requirements of the Pre-Placement Health Assessment (PPHA), please ensure that you complete the steps below according to the timelines outlined. Successful completion of all elements of the Pre-Placement Health Assessment is a mandatory condition of continued employment at Mackenzie Health, and is to be completed within 14 days of a new hire’s start date. A failure to comply with this process may impact your schedule including, but not limited to shift cancellation as outlined in the offer letter.

You may need to consult your Attending Physician for the completion of the enclosed post-offer Pre-Placement Health Assessment (PPHA) Form or reach out to your previous employer/school to obtain the immunization records. The Mackenzie Health Occupational Health Nurse will review this form with you on the date of your PPHA appointment. Any costs associated with the completion of the PPHA form, including meeting the immunization requirements, are employee’s responsibility.

Employee Checklist:

• Schedule your Pre-Placement Health Assessment appointment with the Occupational Health and Safety Department within 3 business days of returning your signed offer letter by self booking online:
  • Self-Scheduling Calendar for Cortellucci Vaughan Hospital: https://www.mackenziehealth.ca/pphassessmentcvh/
  • Self-Scheduling Calendar for the rest of Mackenzie Health sites: https://www.mackenziehealth.ca/pphassessment/.
    Please contact the OHS directly if you are to cancel or reschedule your appointment with less than 24 hours before your appointment time.
• Complete and sign online the four sections (part A, B, C and D) of the Employee Pre-Placement Health Assessment form and submit it to the Occupational Health and Safety Department for review prior to the appointment. Once you submit the form, you will receive a confirmation email. Retain a copy for your records.
• Provide proof of immunity. You may need to consult your Attending Physician, or reach out to your previous employer/school to obtain immunization records and/or laboratory (serology) results for Section B of the Form. These can be uploaded directly and submitted with the completed PPHA form.
• Bring your OHIP card to the PPHA appointment.
• Provide documentation for valid respiratory mask fit testing on 3M N95 disposable respirators, if available.
  This can be uploaded directly and submitted with the completed PPHA form
• Please download and read the PPHA Educational Package prior to your PPHA appointment

If you have any questions, please contact us at:

Occupational Health and Safety Department
Telephone: 905-883-1212, extension 7290
Fax: 905-883-2149
Email: OccupationalHealthUnit@MackenzieHealth.ca

Mackenzie Health is committed to protecting your privacy. The personal information obtained in this form is collected in accordance with the Occupational Health and Safety Act and the Workplace Safety and Insurance Act. Any medical and personal information collected during pre-placement health assessment appointment will be documented in the Employee Health Record and kept confidential, with access to such information determined in accordance with the Personal Health Information Protection Act (PHIPA) and the Freedom of Information and Protection of Privacy Act (FIPPA).

Please complete the information below to the best of your knowledge.

Have you ever had any of the following disorders which may have an affect on your ability to perform the duties of your job/position? If you answer yes for any of these conditions, please describe the potential impact or restrictions.

By clicking submit at the bottom of the page, I acknowledge and certify that I have answered all questions truthfully and I know of no further personal health conditions which would adversely affect my employment at Mackenzie Health.