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PHYSICAL CAPABILITY FORM WORKERS COMPENSATION Date: Patient: Please contact Anthem Workers Compensation for recertification of any outpatient testing: Employer: St. Louis 3149256400 Toll Free 8008728815

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What is physical capability form?

The physical capability form is a document used to assess an individual's ability to perform certain physical tasks.

Who is required to file physical capability form?

Individuals who are applying for certain positions or benefits may be required to file a physical capability form.

How to fill out physical capability form?

The physical capability form must be completed honestly and accurately, providing all the required information about the individual's physical abilities.

What is the purpose of physical capability form?

The purpose of the physical capability form is to ensure that individuals are physically capable of performing the tasks required for a specific job or benefit.

What information must be reported on physical capability form?

The physical capability form may require information about the individual's medical history, current physical abilities, and any relevant medical conditions.

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