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UNIVERSITY OF WASHINGTON MEDICAL 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 a medical evaluation of fitness:

1. Begin by carefully reading all instructions provided with the evaluation form. Make sure you understand what information is required and how it should be presented.
2. Start by filling out your personal information accurately. This usually includes your full name, date of birth, contact information, and any relevant identification numbers (such as an employee or patient number).
3. Provide a comprehensive medical history. Include any past or current medical conditions, surgeries, or injuries that may impact your fitness. Don't forget to mention any medications you are currently taking, allergies, or chronic illnesses.
4. Answer all questions regarding your lifestyle and habits honestly. This may include questions about your smoking or drinking habits, exercise routine, diet, and stress levels.
5. If applicable, mention any specific activities or job-related tasks that require a higher level of fitness. This information will help the evaluator determine if you are physically able to perform those tasks.
6. Include any relevant medical records or test results that support your overall fitness. These may include recent blood tests, x-rays, or specialist reports.
7. Review all the information you have provided to ensure accuracy and completeness. Any inconsistencies or missing information may delay the evaluation process or result in an inaccurate assessment.
8. If required, sign and date the evaluation form to confirm that the information provided is true and accurate to the best of your knowledge.

Who needs a medical evaluation of fitness:

1. Individuals applying for jobs that require physical capabilities or pose potential health risks may need a medical evaluation of fitness. This could include positions in industries such as firefighting, law enforcement, or military service.
2. Athletes or sports competitors may need a medical evaluation of fitness to ensure they are physically capable of participating in their chosen activity and to identify any potential health risks.
3. Individuals planning to undergo elective surgeries or medical procedures may require a medical evaluation of fitness to assess their ability to tolerate the procedure and recover successfully.
4. Some insurance companies or healthcare providers may request a medical evaluation of fitness before approving certain coverage or treatments, particularly for high-risk individuals or pre-existing conditions.
5. Certain educational programs, such as aviation or diving courses, may require a medical evaluation of fitness to ensure the safety of participants and reduce liability.

Overall, a medical evaluation of fitness is often necessary when an individual's physical capabilities or health status need to be assessed for specific purposes, such as employment, participation in certain activities, or medical interventions.

For pdfFiller’s FAQs

What is medical evaluation of fitness?

Medical evaluation of fitness is a process in which a healthcare professional assesses an individual's health status to determine if they are physically and mentally fit for a specific job or activity.

Who is required to file medical evaluation of fitness?

Certain occupations or activities may require individuals to undergo and file a medical evaluation of fitness, such as pilots, commercial drivers, or military personnel.

How to fill out medical evaluation of fitness?

Typically, a healthcare professional will conduct the evaluation and provide the necessary documentation, which is then submitted to the relevant authority or employer.

What is the purpose of medical evaluation of fitness?

The purpose of a medical evaluation of fitness is to ensure that individuals are able to safely perform their job duties or participate in a specific activity without posing a risk to themselves or others.

What information must be reported on medical evaluation of fitness?

The medical evaluation of fitness report typically includes information such as the individual's medical history, current health status, any limitations or restrictions, and recommendations for accommodations or modifications.

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