Transport Canberra and City Services

Transport Canberra and City Services (TCCS)

Pre-employment Medical Assessment

"*" indicates required fields

Applicant details

Name*
DD slash MM slash YYYY

Availability

DD slash MM slash YYYY
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.

On submission, the Clinic will review your details and contact you to confirm your appointment within 3 business days.