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2012 STAFF HEALTH EXAMINATION FORM Staff Name: Home Address: If staff member is under 21 years of age: Parent Name: Parent Name: Work Phone Number: Work Phone Number: Cell Phone Number: Cell Phone
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The staff health examination form is a document used to collect medical information about employees to ensure their health and safety in the workplace.
All employees are required to file the staff health examination form.
To fill out the staff health examination form, employees must provide accurate and complete information about their medical history, current health condition, and any required medical examinations or tests.
The purpose of the staff health examination form is to assess the overall health and fitness of employees to identify any potential health risks or conditions that may affect their ability to perform their job duties.
The staff health examination form typically requires employees to report their personal information, medical history, current health conditions, medications, allergies, and any relevant medical tests or examinations.
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