Order number
Category
Service
Add-on services
-- Select an option --
No add-on
EKG
Audiometry
EKG+Audiometry
Maximum number of sessions
Number of e-licenses
Price (excluding VAT)
Providers on weekdays
Providers on weekdays
Providers on weekdays
Delivery method weekdays (Nurse)
Delivery method weekdays (Nurse)
Delivery method weekdays (Nurse)
Delivery method weekdays (Doctor)
Delivery method weekdays (Doctor)
FDI Delivery method weekdays (Doctor)
Should certificates also be issued during weekends?
Day (8:00–10:00)
Day (08:00–10:00) – delivery and competence
Delivery and competence
Order type
Delivery
Delivery
After placing the order, a direct link to online appointment booking will be sent to the specified e-mail with the subject: "Kallelse - Välkommen till/Welcome to Falck"
Current work task(s):
Fältet är obligatoriskt.
If there is an existing certificate, enter the expiry date of the certificate
Company
Social security number (orderer)
Name (orderer)
E-mail (orderer)
Telephone (orderer)
Cost center
Enter the invoice reference as the invoice comment
Invoice comment
How many persons is the order for?
Attach the list of personal data in a separate document and upload it below. Use the template for group orders. (download template)
Swedish social security number
Social security number (medarbetare)
Date of birth (employee)
Name (employee)
E-mail (employee)
Telephone (employee)
Source of risk
Exposure
Work tasks
Attach any risk assessment below with file upload.
Delivery city
-- Select an option --
Alingsås
Ängelholm
Arboga
Arvidsjaur
Arvika
Åseda
Åsele
Boden
Bollnäs
Borås
Borlänge
Dorotea
Eskilstuna, Brunnsta
Eskilstuna, Centrum
Falun
Finspång
Flen
Gällivare
Gävle
Göteborg, Gårda
Göteborg, Heden
Göteborg, Lundby
Habo
Hagfors
Hallsberg
Halmstad
Härnösand
Hässleholm
Helsingborg
Hudiksvall
Husum
Jönköping
Kalmar
Karlshamn
Karlskoga
Karlskrona
Karlskrona
Karlstad
Katrineholm
Kiruna
Köping
Kramfors
Kristianstad
Landskrona
Lessebo
Linköping
Ljusdal
Ludvika
Luleå
Lund
Lycksele
Malmö
Mjölby
Mönsterås
Motala
Nässjö
Norrköping
Norrtälje
Nybro
Nyköping
Örebro
Örnsköldsvik
Oskarshamn
Östersund
Östhammar
Oxelösund
Pajala - Kiruna
Piteå
Ronneby
Sandviken
Simrishamn
Sjöbo
Skellefteå
Skövde
Södertälje
Sollefteå
Sorsele
Stockholm, Arlanda
Stockholm, Gullmarsplan
Stockholm, Norrmalm
Stockholm, Östermalm
Stockholm, Solna
Stockholm, Vasastan
Storuman
Sundsvall
Timrå
Tomelilla
Trollhättan
Uddevalla
Umeå, Böleäng
Umeå, Öst på stan
Uppsala
Varberg
Västerås
Växjö
Vilhelmina
Visby
Ystad
Specify the immediate manager who will be the recipient of the first-day certificate…
Additional recipient of certificate or feedback
Name (alternative)
E-mail (alternative)
Telephone (alternative)
For supportive calls
Describe the work-related reasons ssues leading to this order and what changes you have observed in the employee.
Reason for supportive talk
Fältet är obligatoriskt.
Message
To attach multiple files: hold "ctrl" or "cmd" and select all the files you want to include in the order.
All data is sent with a secure connection. In the next step, you can save a summary of the order as a pdf.
Drug test answers: If the service includes a drug test, a negative test result will be notified in email titled "Result of test " from noreply@Infosolution.se
If you want to discuss the activation or add sampling, first complete and submit the activation. Then order a Case Dialogue, Individual
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About personal data: As a customer, you are responsible for providing correct information to ensure the handling of personal information when ordering, booking and invoicing. Please read our Privacy Policy .
