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MedicalExaminationReport
FORCOMMERCIALDRIVERFITNESSDETERMINATION
649F(6045)
1. DRIVER\'INFORMATION Drivercompletesthissection
SocialSecurityNo.
Driver\'name(Last, First, Middle)Birthdate
M/D/YAddressCity,
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The medical examination report is for documenting and reporting the results of a medical examination.
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Individuals who are undergoing a medical examination for a specific purpose such as employment, insurance, or medical treatment may be required to file the medical examination report.
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The medical examination report should be filled out by the healthcare professional who conducted the examination, with accurate and detailed information regarding the individual's medical history, current health status, and examination results.
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The purpose of the medical examination report is to provide an official record of the individual's health status at the time of the examination, which may be used for various purposes such as assessing eligibility for certain benefits or treatments.
What information must be reported on wwwwwmedgroupcomwp-contentuploadsmedical examination report for?
The medical examination report must include information on the individual's medical history, current health status, examination results, and any recommendations or follow-up actions needed.
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