ABF Medical Request Form "*" indicates required fields Choosing the wrong medical or fitness assessment type will only delay the booking progress, incur additional charges to the department and you may end up repeating the whole medical or the fitness test. Before choosing your assessment types, please ensure to consult with your employer and read the guidelines below. Once you have undertaken the following Medicals and the fit slip is approved, you will need to undertake your fitness assessment. If you undertake the following Medicals, please see the correct fitness assessment you need to select from the drop-down list. • BFO Basic Medical => Fitness type: Basic Fitness Assessment (BFA) • BFO Basic Medical - Over 55 Years => Fitness type: Basic Fitness Assessment (BFA) • Container Examination Facility (CEF) Medical with Fitness to wear respiratory=> Fitness type: Basic Fitness Assessment (BFA) If you undertake the following Medicals, please see the correct fitness assessment you need to select. • Medical type: Use of Force => Fitness type: Functional Fitness Assessment (FFA) • Use of Force - Over 55 years => Fitness type: Functional Fitness Assessment (FFA) • Use of Force Instructor Medical (with Lead Testing) => Fitness type: Functional Fitness Assessment (FFA) • Use of Force Instructor Medical Assessment - Over 55 years (with Lead Testing) => Fitness type: Functional Fitness Assessment (FFA) Type of request*Please select medical/fitness type from the following drop-down optionsBFO Basic MedicalBFO Basic Medical - Over 55 YearsContainer Examination Facility MedicalContainer Examination Facility Medical – Over 55 yearsContainer Examination Facility (CEF) Medical with fitness to wear respiratorFitness to wear a respiratorFunctional Fitness Assessment - FFABasic Fitness Assessment (BFA) - Step TestBasic Fitness Assessment (BFA) - Beep TestUse of Force MedicalUse of Force Medical- Over 55 YearsUse of Force Instructor Medical (with lead testing)Use of Force Instructor Medical Assessment – Over 55 years (with lead testing)Use of Force Lead & Audio only (instructors Only)Candidate name:* First Last Candidate email* Candidate date of birth* DD slash MM slash YYYY AGS Number* Candidate phone number*Preferred location for Assessment*ACT Belconnen (Fitness only)ACT Gunghalin (Fitness only)ACT Woden (Fitness only)ACT Queanbeyan (Medical only)NSW Bankstown (Both Medical and Fitness)NSW Baulkham Hills (Both Medical and Fitness)NSW Brookvale (Fitness only)NSW Charlestown (Fitness only)NSW Chatswood (Fitness only)NSW Dapto (Both Medical and Fitness)NSW Darlinghurst (Both Medical and Fitness)NSW Mount Druitt (Both Medical and Fitness)NSW Narellan (Both Medical and Fitness)NSW Newcastle (Both Medical and Fitness)NSW Waterloo (Both Medical and Fitness)NSW Wetherill Park (Both Medical and Fitness)NSW Wollongong (Both Medical and Fitness)NT Darwin City (Both Medical and Fitness)QLD Bardo (Fitness only)QLD Beenleigh (Both Medical and Fitness)QLD Brisbane CBD (Medical only)QLD Brown Plains (Medical only)QLD Cairns (Both Medical and Fitness)QLD Chermside (Both Medical and Fitness)QLD Currajong (Medical only)QLD Geebung (Both Medical and Fitness)QLD Gladstone Central (Fitness only)QLD Jindalee (Fitness only)QLD Maryborough (Fitness only)QLD Mermaid Beach (Both Medical and Fitness)QLD Murrumba Downs (Both Medical and Fitness)QLD North Mackay (Both Medical and Fitness)QLD Oxley (Fitness only)QLD Southport (Both Medical and Fitness)QLD Townsville (Medical only)SA Gillman (Both Medical and Fitness)SA Mile End (Both Medical and Fitness)SA Modbury (Both Medical and Fitness)TAS Launceston (Both Medical and Fitness)TAS Lindisfarne (Both Medical and Fitness)VIC Epping (Both Medical and Fitness)VIC Geelong (Both Medical and Fitness)VIC Highett (Both Medical and Fitness)VIC Moonee Ponds (Both Medical and Fitness)VIC Mulgrave (Medical only)VIC Narre Warren (Both Medical and Fitness)VIC Port Melbourne (Both Medical and Fitness)VIC Ringwood (Both Medical and Fitness)VIC Werribee (Both Medical and Fitness)WA Albany (Both Medical and Fitness)WA Boulder (Both Medical and Fitness)WA Bunbury (Medical only)WA Cannington (Both Medical and Fitness)WA Craigie (Fitness only)WA Geraldton (Both Medical and Fitness)WA Karratha (Both Medical and Fitness)WA Morley (Fitness only)WA Port Hedland (Both Medical and Fitness)WA Rockingham (Both Medical and Fitness)Available from: DD slash MM slash YYYY Please indicate your availability for a medical assessment appointment.Available to: DD slash MM slash YYYY If availability is limited within the above date range, please further indicate availability below. If left blank, ACH will assume you are available any time within the date range provided above.If availability is limited within the above date range, please further indicate availability below. If left blank, ACH will assume you are available any time within the date range provided above. Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Additional commentsDeclaration* I declare, that the requested assessment is the correct ABF Medical Assessment that is required for my current ABF role. ACH will be sending you an email confirmation with your appointment time and location shortly.