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PHYSICALMEDICAL EXAMINATION INSTRUCTION TO THE PHYSICIAN The following History and Physical with Lab Data are required by each applicant: 1. Complete medical and surgical history with dates. 2. Complete
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Begin by downloading the Form-114-Physical-Exam-2024.pdf from the official website.
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Open the form using a PDF reader that allows form filling.
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Fill out the personal information section including your name, date of birth, and contact information.
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Provide details about your medical history as prompted in the form.
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Complete the physical exam section, attaching signatures where required by the examiner.
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Who needs form-114-physical-exam-2024pdf?

01
Individuals applying for certain jobs that require a physical examination.
02
Students entering specific educational programs that necessitate a health assessment.
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Athletes seeking to participate in competitive sports.
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Any individual required to prove physical fitness for specific legal or medical reasons.
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Form-114-Physical-Exam-2024pdf is a document used for reporting the results of physical examinations required for various purposes, such as employment or certification.
Individuals who are required to undergo a physical examination for employment, licensing, or other regulatory reasons must file Form-114-Physical-Exam-2024pdf.
To fill out Form-114-Physical-Exam-2024pdf, complete all required sections, provide personal information, and ensure that the examining physician signs and dates the form.
The purpose of Form-114-Physical-Exam-2024pdf is to certify that an individual has undergone a physical examination and meets the necessary health criteria for their specific role or requirement.
Information required on Form-114-Physical-Exam-2024pdf includes personal identification details, medical history, results of the physical examination, and the examining physician's evaluation.
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