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PREEMPLOYMENT PHYSICAL EXAMINATION Name: Date: Are you allergic to natural rubber latex? YES×NO Liters Varicella: Date Results Mumps: Date Results Rubella: Date Results Rubella: Date Results Hepatitis
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How to fill out preemployment physical examination

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How to fill out preemployment physical examination:

01
Gather all necessary documents and forms: Make sure you have the preemployment physical examination form provided by your employer or potential employer. Read through the form carefully to understand the information required.
02
Fill out personal information: Start by entering your personal details such as your full name, date of birth, address, contact number, and social security number. Provide accurate and up-to-date information.
03
Medical history: The form may ask for your medical history, including any previous illnesses, surgeries, or medical conditions. Answer truthfully and provide any relevant details.
04
Current medications: Note down any medications you are currently taking, including the name of the medication, dosage, and frequency. This will help the medical professional assess potential interactions or health concerns.
05
Allergies and sensitivities: Specify any allergies or sensitivities you have, whether it's to medications, food, or other substances. This information is vital for your safety during the examination.
06
Immunization records: You may be required to provide proof of certain vaccinations or immunizations. Ensure you have any necessary documents or records to support your vaccination history.
07
Family medical history: Some forms may include a section asking for your family's medical history. Indicate if any close relatives have had significant illnesses or conditions that may be hereditary.
08
Review and sign: Before submitting the form, carefully review all the information you have provided. Make sure it is accurate and complete. Sign and date the form as required.

Who needs preemployment physical examination:

01
Candidates for physically demanding jobs: Jobs that require heavy physical exertion, such as construction, firefighting, or law enforcement, often require preemployment physical examinations to ensure candidates are physically fit for the role.
02
Jobs involving safety or public health: Certain jobs may involve potential risks or responsibilities related to safety or public health. Employers may require preemployment physical examinations to ensure candidates are free from any medical conditions or limitations that could compromise these aspects.
03
Positions with legal requirements: In some cases, regulatory bodies or licensing authorities may mandate preemployment physical examinations for specific professions. Jobs in the healthcare industry, transportation sector, or positions that require certain certifications or licenses may fall under this category.
Overall, the purpose of the preemployment physical examination is to assess a candidate's medical fitness for a particular job, ensuring both the individual's well-being and the employer's compliance with health and safety regulations.
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Preemployment physical examination is a medical assessment conducted to evaluate an individual's physical health and fitness for a specific job position.
Certain job positions or industries may require individuals to undergo preemployment physical examination as part of the hiring process.
Individuals can fill out preemployment physical examination forms by providing accurate and complete information about their medical history, current health status, and any relevant health conditions or medications.
The purpose of preemployment physical examination is to ensure that individuals are physically capable of performing job duties safely and effectively.
Information such as medical history, current health status, any known allergies, medications, previous injuries, and any health conditions that may impact job performance should be reported on preemployment physical examination forms.
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