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Next Cohort 6 Israel Mission June 10 21, 2018 Medical TO BE COMPLETED BY A PHYSICIAN Students name: Age Height: Weight: Sex: M or F (please circle)Immunization History* Please check and note year
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What is medical to be completed by?
Medical forms need to be completed by a healthcare provider.
Who is required to file medical to be completed by?
Employees seeking medical clearance or authorization.
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The form must be filled out by the healthcare provider with all relevant medical information.
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The purpose is to ensure that the employee is medically fit for the job or task at hand.
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Medical history, current medications, any known medical conditions, and clearance for specific tasks.
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