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2018 PHYSICAL EXAMINATION CERTIFICATE FOR DEPARTMENT USE ONLY Last Name ___ First Name: ___ Boys State #___ City ___ County___ APPLICANT NAME AND MAILING ADDRESS NAME:___ DOB: ___ ADDRESS:___ CITY:
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How to fill out medical examination form
How to fill out medical examination form
01
Read the instructions provided on the form carefully.
02
Fill out personal information such as name, date of birth, and address.
03
Provide details of medical history including any previous illnesses or surgeries.
04
Answer all questions truthfully and accurately.
05
Sign and date the form to certify that the information provided is true.
Who needs medical examination form?
01
Individuals who are required to undergo a medical examination for employment purposes.
02
Individuals applying for a visa or residency in a foreign country.
03
Students enrolling in certain academic programs that require medical clearance.
04
Athletes participating in sports competitions that mandate medical clearance.
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What is medical examination form?
The medical examination form is a document used to report the results of a medical examination conducted on an individual.
Who is required to file medical examination form?
The medical examination form is typically required to be filed by individuals seeking employment in certain industries or by individuals applying for certain visas or permits.
How to fill out medical examination form?
To fill out a medical examination form, individuals must provide information about their medical history, undergo a physical examination, and have any necessary lab tests or screenings.
What is the purpose of medical examination form?
The purpose of the medical examination form is to ensure that individuals meet certain health and medical standards required for the specific job or visa they are applying for.
What information must be reported on medical examination form?
The medical examination form typically requires information about the individual's medical history, current health conditions, and the results of any medical tests or examinations.
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