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MEDICAL EXAMINATION REPORT FOR TAXICAB/LIMO/MEDICAL DRIVER FITNESS DETERMINATION Driver's Name (First, Last, Middle)Social Security No. Birthdates M/D/Y Age Sex M F New Certification Recertification
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What is MEDICAL EXAMINATION REPORT FOR TAXICAB/LIMO/MEDICAL DRIVER FITNESS DETERMINATION Form?

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MEDICAL EXAMINATION REPORT FOR TAXICAB/LIMO/MEDICAL DRIVER FITNESS DETERMINATION template instructions

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The medical examination report is used to evaluate an individual's health status.
Certain individuals such as commercial drivers and pilots may be required to file a medical examination report.
The medical examination report should be filled out by a licensed healthcare provider after conducting a thorough examination of the individual.
The purpose of the medical examination report is to assess the health and fitness of an individual for a specific job or activity.
The medical examination report should include details of the individual's medical history, current health status, and any relevant test results.
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