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SAMPLE PHYSICIANS CERTIFICATE 1. Employees Name: 2. Please indicate whether the employee can perform each of the essential functions of his/her position as listed on page 1 of this package. If applicable,
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To fill out 'please indicate whether the' form, follow these steps:
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Start by entering your personal information in the designated fields.
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Provide information about the subject or topic that requires indication.
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Indicate whether the subject is applicable or relevant to your situation.
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