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To be given to the individual examined with a readdressed envelope marked Confidential Medical. CERTIFICATE OF MEDICAL EXAMINATION U.S. OFFICE OF PERSONNEL MANAGEMENT Form Approved OMB No. 3206 0250
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How to fill out certificate of medical examination
01
Read the instructions provided with the certificate form to understand the requirements.
02
Fill in your personal information accurately, including your full name, date of birth, and contact details.
03
Provide details about your medical history, including any previous illnesses, surgeries, or medications you are currently taking.
04
Include information about any allergies or chronic conditions you have.
05
If you have undergone any specific medical tests or procedures, mention them along with the corresponding results.
06
If required, attach any supporting documents such as medical reports or prescriptions.
07
Ensure that the certificate is signed and dated by a certified medical practitioner.
08
Double-check all the information provided and make sure there are no errors or omissions before submitting the form.
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Athletes participating in sports competitions or events.
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Immigrants or visa applicants in some countries.
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