Bulk Booking Request Please enable JavaScript in your browser to complete this form.Company DetailsCompany Name *Requesting Person (Person completing this form)First Name *Surname *Phone *Email *Candidate Booking ConfirmationHR to provide appointment details to candidateGP UltraHub to provide appointment details to candidateCandidate Details and Availability Candidate Details LayoutFirst Name *Date of Birth *State *EmailSite *Last Name *Appointment Location *GenderMaleFemaleIndeterminate/Intersex/UnspecifiedJob Role *Candidate Availability *LayoutServices Requested *MA (Medical Assessment)Industrial Medical (Rail, Drivers, Health Surveillance etc.)AudioBloodsSpiroDAS (Drug and Alcohol)MusculoskeletalFitnessBack AssessmentVaccinationsAMSAOther Please specify (e.g. ECG, Stress ECG, CHEST X-RAY, QUESTIONNAIRES, Grip Strength)Industrial Medical *RAILDRIVERSHEALTH SURVEILLANCEOtherRAILCat 1Cat 2Cat 3Please specify which RAIL (e.g. National, BHP, RIO, Sydney Trains only) *State driver will be working in *ACTNSWNTQLDSATASVICWAPlease specify which DRIVERS (e.g. Commercial, TruckSafe, Dangers Goods) *HEALTH SURVEILLANCE *Initial/BaselinePeriodic/AnnualExit/TerminationPlease specify which Health Surveillance medical *Other Please Specify *Audio *StandardWorkCoverOccupational NoiseWorkcover WC Number *Occupational Noise *ReferenceMonitoringBloods *Drug and Alcohol *InstantLab DASBreath Alcohol test ONLYMusculoskeletal *Comprehensive MusculoskeletalStandard MusculoskeletalVaccinations *InitialFollow upAMSA *DomesticINITIAL (International STCW)RENEWAL (International STCW)Domestic *New EntrantExisting SeafarerChoice 3INITIAL (International STCW) *Under 55Over 55Job Role Catering, Engineering or Integrated RatingAMSA PinRENEWAL (International STCW) *Under 55Over 55Job Role Catering, Engineering or Integrated RatingJob Role Catering, Engineering or Integrated RatingAMSA PinOther *Paperwork Required *GP UltraHub paperworkClient Specific paperworkBilling Information Payment *Billing Company same as aboveCandidate to pay on dayCall for Credit Card PaymentClient ID Number *We require this number to invoice to your account, if you are unable to locate your ID number please contact at: 07 4910 8614LayoutBilling Company *Cost CodePurchase Order # *Results Email *CommentsLayoutPurchase Order # *Results Email *Cost CodeCommentsPlease provide contact details for Credit Card payments in the Comments field belowLayout (copy)Purchase Order # *Results Email *Cost CodeComments *Submit