Custom Paperwork Request

If you require specific paperwork please complete the following form and a representative from KINNECT will contact you.

Is this Custom Medical Paperwork for:*
For this particular medical, we do not need to review the paperwork. We regularly complete Ambulance Victoria Clinical Placement Medicals and as such, you can place your order online via this page on our website.
For this particular medical, we don't need to review the paperwork. We regularly complete these medicals and as such, you can place your order online. Simply return to the home page and select "KINNECT Paperwork" and then search our online shop for the relevant medical.
Your Details
Name*
First Last
Company*
Job Title*
Mobile*
Email*
Unfortunately, we don't complete this specific medical. We would recommend you speak with your General Practitioner as they may be best suited to completing this particular medical assessment.
Attach copy of medical paperwork
Medical paperwork
Drop files here or

Accepted file types: doc, docx, pdf, Max. file size: 2 MB, Max. files: 5.
(maximum 5 files, doc, docx or pdf, max 2mb each)
Do you require this paperwork, in order to access another companies worksite?*
- Yes
- No
What is the name of this company and the name of the worksite?
How many people will you need to put through this medical? (minimum of 10 required)*
Please note, we require a minimum of 10 in order to warrant the review and setup of this custom medical paperwork in our system.
Unfortunately we require a minimum of 10 medicals in order to warrant the time required to review and setup this custom paperwork.
Will you require any other medical testing in addition to this paperwork?
Email
This field is for validation purposes and should be left unchanged.

Custom Paperwork Request

If you require specific paperwork please complete the following form and a representative from KINNECT will contact you.

Your Details

Attach copy of medical paperwork