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【2026年教職員工健康檢查】健檢日期、自費項目調查及健康問卷填寫

各位教職員同仁您好:
Dear Faculty and Staff,

為利本校後續健康檢查作業之順利安排,敬請依序完成下列表單填寫,感謝您的配合。
To facilitate the smooth arrangement of subsequent health examination procedures at our university, please complete the following forms in order. Thank you for your cooperation.

1. 健康檢查日期登記 Health Examination Date Registration
說明
(1). 基隆、林口校區:健康檢查日期 8/25-8/31,可登記健康檢查日期;未填寫者,將由環安室統一安排健檢日期。

(2). 嘉義校區:※必填※ 健康檢查日期 8/10-8/14 ,務必填單,登記健康檢查日期。

(3). 高雄校區: 健康檢查日期 8/7-8/28,*無*提供表單預約,最晚於健檢日前一週 電聯高雄長庚醫院 07-7317123 分機 3696 或 2168 預約健康檢查。
(1) Keelung & Linkou Campuses: Examination dates: 8/25–8/31. Please register your preferred date. Those who do not complete the form will be assigned a date by the Environmental Health and Safety Office.

(2) Chiayi Campus: *Required* Examination dates: 8/10–8/14. Completion of this form is mandatory.

(3) Kaohsiung Campus: Examination dates: 8/7–8/28. Form-based registration is not available. Please call Kaohsiung Chang Gung Memorial Hospital at 07-7317123, ext. 3696 or 2168 to schedule your health exam at least one week in advance.
2. 健檢自費項目加選 Self-Paid Health Examination Items Registration
說明 *
若無加選自費項目需求,則無須填寫此表單。 If you do not wish to add any self-paid examination items, you do not need to fill out this form.
3. 健康調查問卷 Workload & Ergonomic Risk Assessment Form
說明
※必填※
依據《職業安全衛生法》第31條規定,本校訂定人因性危害預防計畫及異常工作負荷促發疾病預防計畫,請教職員工協助填寫相關問卷。
※ 輸入專案編號:2026062303、身分證字號、出生年月日 即可開始填寫相關問卷。
*Required*
In accordance with Article 31 of the Occupational Safety and Health Act, the university has established prevention programs for musculoskeletal disorders and abnormal workload-related diseases. Faculty and staff are requested to complete the questionnaire.
* Please enter Project Code: 2026062303, your National ID number, and date of birth to begin.

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