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EMPLOYEE PHYSICAL EXAMINATION FORM NAME OF EMPLOYEE EXAMINED: DATE: PURPOSE OF EXAMINATION: (Check One) INITIAL EMPLOYMENT: Within 12 months prior to employment and submitted to Personnel on or before
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How to fill out employee physical exam

How to fill out an employee physical exam:
01
Obtain the necessary forms: Start by obtaining the employee physical exam forms from your employer or the appropriate healthcare provider. These forms usually require personal information, medical history, and consent for examination.
02
Read and understand the instructions: Before filling out the forms, carefully read and understand all the instructions provided. This will ensure that you provide accurate and complete information.
03
Personal information: Begin by filling out the personal information section, which includes the employee's name, address, contact details, date of birth, and social security number. Double-check for accuracy to avoid any administrative errors.
04
Medical history: The next section usually encompasses the employee's medical history. Provide details about any past or current medical conditions, surgeries, allergies, or medications being taken. Be honest and thorough to ensure accurate assessment.
05
Family medical history: Some forms may require information about the employee's family medical history. This may include questions about any hereditary conditions or diseases that run in the family. Answer to the best of your knowledge.
06
Review and sign consent: After completing the required sections, carefully review your answers. Some forms may include a consent section where you acknowledge that you understand the purpose of the examination and give consent for the healthcare provider to conduct it.
07
Submit the forms: Once you have filled out all the necessary sections and signed the consent, submit the employee physical exam forms as instructed by your employer or healthcare provider. Ensure that all required documents are attached and any additional steps, such as scheduling an appointment, are followed.
Who needs an employee physical exam?
01
New Hires: Many employers require new employees to undergo a physical exam as part of the employment process. This helps ensure that new hires are physically capable of performing their job duties and do not pose a risk to themselves or others.
02
Specific job roles: Certain job roles, such as those involving heavy lifting, exposure to hazardous materials, or high physical strain, may require regular physical exams. These exams assess the employee's fitness and ability to handle the demands of the job.
03
Periodic check-ups: Some employers may require regular physical exams for their employees as a preventive measure to monitor their health and wellness. This can help identify any underlying medical conditions or changes in health that may affect job performance and safety.
04
Return to work: If an employee has been on a prolonged absence from work due to a medical condition or injury, some employers may require a physical examination before allowing them to return to work. This ensures that they are fit for duty and can perform their job safely.
05
Legal or regulatory requirements: In certain industries or occupations, there may be legal or regulatory requirements mandating employee physical exams. This is particularly relevant in fields where public safety is a concern, such as transportation or healthcare.
Remember, specific requirements for employee physical exams may vary depending on the employer, job role, and local regulations. It is important to consult with your employer or HR department for accurate information regarding when and how to fill out an employee physical exam.
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What is employee physical exam?
Employee physical exam is a medical examination that evaluates the physical health and fitness of an employee.
Who is required to file employee physical exam?
Employers are required to file employee physical exam on behalf of their employees.
How to fill out employee physical exam?
Employee physical exam can be filled out by a qualified healthcare provider or medical professional. The exam typically includes information about an employee's medical history, vital signs, physical examination findings, and any recommended follow-up care.
What is the purpose of employee physical exam?
The purpose of employee physical exam is to ensure that employees are physically fit to perform their job duties safely and effectively.
What information must be reported on employee physical exam?
Employee physical exam must include information such as medical history, vital signs, physical examination findings, and any recommendations for follow-up care.
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