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Clinic #:screen Account #:Client Account Name:Medical Examination ReportEmployer Name:Clinic:NonDOT Fitness Determination1. APPLICANT INFORMATION Applicant\'s Name (Last, First, Middle)Reason For
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A medical examination or report completed by a healthcare professional to assess an individual's health status.
Individuals who are applying for certain jobs, insurance policies, or special certifications may be required to file a medical report.
To fill out a medical report, the individual must visit a healthcare provider who will conduct a physical examination and record relevant health information.
The purpose of a medical report is to provide an accurate assessment of an individual's health status, which can be used for decision-making purposes by employers, insurance companies, or certifying agencies.
The medical report must include information such as medical history, current medications, past surgeries, allergies, vital signs, and any diagnosed conditions.
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