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649F (Rev. 2/08) (6045) Medical Examination Report FOR COMMERCIAL DRIVER FITNESS DETERMINATION 1. Driver completes this section. Social Security No. DRIVER IS INFORMATION Driver's Name (Last, First,
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How to fill out a medical examination report:

01
Start by carefully reading the instructions provided on the medical examination report form. Ensure that you understand each section and the information required.
02
Begin by providing your personal details such as your name, date of birth, contact information, and any identification numbers or patient ID provided.
03
Move on to the medical history section. Here, you will need to provide information regarding any past or current medical conditions, surgeries, hospitalizations, or allergies. Be thorough and accurate in your responses.
04
Next, you may be asked to provide details about your lifestyle habits such as smoking, alcohol consumption, exercise regimen, and diet. Answer these questions honestly and to the best of your knowledge.
05
The physical examination portion comes next. This is usually completed by a healthcare professional conducting the examination. They will record findings such as height, weight, blood pressure, heart rate, and any specific physical assessments required for the examination.
06
If necessary, additional tests or laboratory investigations may be requested. This could include blood tests, urine analysis, imaging scans, or any other diagnostic tests. Ensure that the tests are conducted as instructed and that their results are accurately recorded on the report.
07
Towards the end of the form, there may be a section for the examiner's comments or recommendations. If you have any specific concerns or symptoms you'd like the examiner to address, make sure to include them here.
08
Finally, carefully review the completed report for any errors or omissions. Make sure all sections are filled out correctly and that your signature is provided where required.
09
Keep a copy of the completed medical examination report for your records, and submit the original to the relevant authority or organization that requested the examination.

Who needs a medical examination report:

01
Individuals applying for certain job positions may be required to undergo a medical examination and provide a medical examination report. This is common in professions that may have physical or health-related requirements, such as pilots, firefighters, or military personnel.
02
Some educational institutions or programs, especially those related to healthcare or sports, may request a medical examination report to ensure the student is fit to participate in certain activities or programs.
03
Individuals applying for residency or immigration to certain countries may also need to provide a medical examination report as part of their visa application process. This is done to assess the individual's health status and ensure they do not pose a risk to public health in the destination country.
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Medical examination report is a document that contains information about an individual's health condition based on a physical examination conducted by a medical professional.
Medical examination report is typically required to be filed by individuals seeking employment in certain industries, athletes, and individuals applying for insurance policies.
Medical examination report should be filled out by a licensed healthcare provider after conducting a thorough physical examination of the individual. The provider should accurately record all relevant health information.
The purpose of medical examination report is to assess an individual's health status, identify any underlying medical conditions, and determine their fitness for certain activities or occupations.
Medical examination report typically includes personal information, medical history, current medications, vital signs, physical examination findings, and any laboratory test results.
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