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Patient Registration Information Please PRINT AND complete ALL sections below! Is your condition the result of a work injury? (circle one)Lesson auto accident? (circle one)Renovate of injury: Health
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The 'is your condition form' is a document that allows individuals to report their current physical or mental health status.
All employees are typically required to file the 'is your condition form' as part of their employment records.
To fill out the 'is your condition form', individuals must provide accurate information about their health condition and any medical treatment they are currently receiving.
The purpose of the 'is your condition form' is to ensure that employers are aware of any health conditions that may affect an individual's ability to perform their job.
The 'is your condition form' typically requires individuals to report details of any medical conditions, treatments, and restrictions that may impact their work.
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