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DSS MODEL FORM ALF Handout #14 REPORT OF RESIDENT PHYSICAL EXAMINATION (Examination is to be completed by an independent physician within 30 days prior to the date of admission. Report is to be kept

How to fill out name date of physical

How to fill out name date of physical:

1. Start by writing your full legal name in the designated field.
2. Next, enter the date in the specified format (e.g., MM/DD/YYYY).
3. Double-check for any spelling or formatting errors before submitting.

Who needs name date of physical:

1. Individuals who are undergoing a physical examination or check-up.
2. Students or athletes required to provide a recent physical as part of their school or sports team registration.
3. Job applicants in certain industries where a physical examination is mandatory, such as the transportation or healthcare sectors.

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