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O. Box 1000 succ. M Montreal Qc H1V 3R2 Medical Examination Certificate I II et III IV and V if considered necessary by physician complete sections I and III Section I Applicant s Identification 1. 1 Hearing 3. 2 Vision 3. 3 Mouth Is there perforation of the tympanum Is there hypacusis Is there chronic otitis Yes Pupils egual Photomotor reflex normal Left Yes no Funduscopic examination normal Left Yes Vision Left /20 Right Is there any disease of the mouth or throat Right Yes 3. 14 General...
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01
Gather all the necessary personal information and medical history.
02
Download the medical examination certificate document.
03
Carefully read the instructions provided with the form.
04
Fill out the personal information section, including your full name, date of birth, and contact details.
05
Answer all the medical history questions honestly and accurately.
06
If required, provide additional documentation or test results to support your medical history.
07
Consult a healthcare professional if you are unsure about any medical terms or questions.
08
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09
Sign and date the certificate to certify the accuracy of the provided information.
10
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What is med exami certificatedoc?
Med exami certificatedoc is a medical examination certificate document that certifies the results of a medical examination.
Who is required to file med exami certificatedoc?
Individuals who are applying for certain job positions or licenses may be required to file a med exami certificatedoc.
How to fill out med exami certificatedoc?
To fill out a med exami certificatedoc, one must visit a licensed medical professional for a medical examination and have the results documented on the form.
What is the purpose of med exami certificatedoc?
The purpose of med exami certificatedoc is to ensure that individuals meet certain medical requirements for specific job positions or licenses.
What information must be reported on med exami certificatedoc?
The med exami certificatedoc must include the results of the medical examination, including any health conditions or restrictions.
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