Boral Pre-Employment Medical Request Form



All sections must be completed for appointments to be processed.



Requesting Manager



Candidate Details


At least one phone number is required


Worksite Details



Hiring Manager



Approving Manager



Service Details




Candidate Availability



InjuryNET will contact the candidate to obtain their availability and location for the medical.

Please select at least 9 hours over a minimum of 2 weekdays. If you would like to add additional days to your selection please click on +.

InjuryNET will book the candidate's medical based on the date and times you have provided. Please note, all cancellations, reschedules and non-attendances will incur a fee.