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UNIVERSITY OF WASHINGTONMEDICAL EVALUATION OF FITNESS FOR SCUBA DIVING ENVIRONMENTAL HEALTH & SAFETY To be completed by physician: Send completed form and copies of original test results to UW Employee

How to fill out medical evaluation of fitness

How to fill out medical evaluation of fitness

1. To fill out a medical evaluation of fitness, follow these steps:
2. Begin by reading the instructions provided with the form. Familiarize yourself with the requirements and guidelines.
3. Start by providing your personal information such as your name, age, sex, and contact details.
4. Next, provide your medical history in detail. Include any past illnesses, surgeries, medications, or allergies you may have.
5. Provide accurate information about your current health status. Mention any ongoing medical conditions or symptoms you are experiencing.
6. If applicable, provide details about any chronic diseases or hereditary conditions that run in your family.
7. Disclose any lifestyle habits that may impact your fitness, such as smoking, drug use, or excessive alcohol consumption.
8. If you are taking any medications, mention them along with the dosage and frequency.
9. Finally, sign and date the form to indicate that the information provided is true and accurate.
10. It is important to fill out the medical evaluation of fitness truthfully and thoroughly to ensure that the healthcare professional reviewing the form has all the necessary information to make an informed assessment.

Who needs medical evaluation of fitness?

1. The following individuals may need to undergo a medical evaluation of fitness:
2. - Individuals applying for certain jobs that have physical or health-related requirements, such as firefighters, police officers, or pilots.
3. - Athletes participating in competitive sports to ensure they are physically fit to engage in strenuous activities.
4. - Individuals seeking to join a fitness program or gym that requires a medical clearance to ensure they can safely participate in physical exercises.
5. - Individuals who are planning to undergo a surgical procedure or medical treatment that may have an impact on their overall health and fitness.
6. - Individuals with pre-existing medical conditions who need clearance from a healthcare professional before engaging in specific activities or treatments.
7. It is important to consult with a healthcare professional or the specific institution or organization requiring the medical evaluation to determine if it is necessary for your particular situation.

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What is medical evaluation of fitness?

The medical evaluation of fitness is a process where a medical professional assesses an individual's health and determines if they are physically able to perform certain tasks or activities.

Who is required to file medical evaluation of fitness?

Generally, employees in certain industries or occupations where physical fitness is essential may be required to file a medical evaluation of fitness.

How to fill out medical evaluation of fitness?

To fill out a medical evaluation of fitness, the individual should schedule an appointment with a medical professional who will conduct the evaluation and provide the necessary information.

What is the purpose of medical evaluation of fitness?

The purpose of a medical evaluation of fitness is to ensure that individuals are physically capable of safely performing their job duties and responsibilities.

What information must be reported on medical evaluation of fitness?

The medical evaluation of fitness should include information about the individual's overall health, any medical conditions or disabilities, and recommendations for accommodations if needed.