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1441 Crossways Blvd. Suite 105 Crossways I Chesapeake VA 23320 Tel 757 388-2900 Fax 757 388-2905 www. If this student has any limitation s please check that activity and specify the limitation s in the comment column. Essential Physical Requirements COMMENTS Standing/sitting Walking Climbing Bending Crouching FIT WORK DUTY PHYSICAL Pushing/Pulling Carrying Lifting/Lowering lbs. Sentara.edu FITNESS FOR DUTY/HEALTHCARE PROVIDER STATEMENT COMPLETED BY STUDENT RELEASE OF INFORMATION Student Name...
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