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NAME FIRST NAME DATE OF BIRTH APPLICATION OR POLICY NUMBER MUSCULOSKELETAL DISORDER QUESTIONNAIRE 1. Date the injury occurred: ___/___/___2. Please provide the precise location of the pain or injury:
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How to fill out your fire department physical

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How to fill out your fire department physical

01
Begin by completing all necessary paperwork provided by your fire department.
02
Schedule an appointment with a healthcare provider who is experienced in conducting fire department physicals.
03
Show up to your appointment on time and prepared to undergo a series of tests and examinations.
04
Be honest and thorough in providing your medical history and any current health concerns.
05
Follow any additional instructions given by your healthcare provider for completing the physical exam.

Who needs your fire department physical?

01
Firefighters who are employed or volunteer with a fire department typically need to undergo a fire department physical.
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A fire department physical is a medical examination designed to assess the health and fitness of firefighters to ensure they can safely perform the duties required of them.
Generally, all active firefighters, recruits, and occasionally administrative personnel within the fire department are required to file their fire department physical.
To fill out your fire department physical, complete the medical history questionnaire provided by the fire department, schedule an appointment with an approved physician, and submit any required forms and documentation by the deadline.
The purpose of the fire department physical is to ensure that firefighters are medically fit to handle the physical demands of the job, reduce work-related injuries, and promote overall health and safety.
Information typically required includes personal medical history, any existing medical conditions, medications currently taken, results of physical examinations, and fitness assessments.
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