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HEREPreemployment Medical Examination (PETE)
MEDICAL EXAMINATION RECORD
For aged 31 years to 45 years
FAMILY CAREGIVER NAMESGENDERPASSPORT POSITION APPLIED PRESENT MAILING ADDRESSHEIGHTWEIGHT
m
IBS
ins
kg
VISUAL
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How to fill out medical examination record
How to fill out medical examination record
01
To fill out a medical examination record, follow these steps:
02
Start by writing your personal information, including your name, date of birth, and contact information.
03
Provide details about your medical history, such as any pre-existing conditions, allergies, or chronic illnesses.
04
Include information about any medications you are currently taking or have taken in the past.
05
Provide details about your family medical history, such as any hereditary diseases or conditions.
06
Answer the questions related to your lifestyle, such as your diet, exercise routine, and smoking or alcohol consumption.
07
Provide information about any previous surgeries or hospitalizations you have had.
08
If applicable, mention any recent illnesses or symptoms you have experienced.
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Finally, sign and date the medical examination record to certify that the information provided is accurate.
10
Note: Make sure to consult with your healthcare provider if you have any doubts or questions while filling out the form.
Who needs medical examination record?
01
A medical examination record is needed by various individuals, including:
02
- Applicants for certain jobs or positions that require a medical evaluation as part of the application process.
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- Students or athletes participating in sports activities or competitions.
04
- Individuals applying for immigration or visa purposes.
05
- Patients seeking treatment or consultation from healthcare professionals.
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- Insurance applicants or policyholders requiring a medical assessment for coverage or claims purposes.
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- Individuals participating in research studies or clinical trials.
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It is important to check with the specific organization or institution to determine if a medical examination record is required in each case.
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What is medical examination record?
Medical examination record is a document that contains details of a person's medical examination.
Who is required to file medical examination record?
Employers are typically required to file medical examination records for their employees.
How to fill out medical examination record?
To fill out a medical examination record, one must provide accurate and up-to-date information about their medical history and current health status.
What is the purpose of medical examination record?
The purpose of a medical examination record is to ensure that individuals are fit for certain tasks or responsibilities, and to track changes in their health over time.
What information must be reported on medical examination record?
Medical examination records typically include personal information, medical history, results of physical examinations, and any recommendations for further treatment.
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