Pre-Employment Physical Form Template

The Pre-Employment Physical Form is a medical questionnaire and physical examination record used to assess a job applicant’s health status during pre-employment screening. It includes sections for medical history, examination results, doctor’s certification and applicant declaration.

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Pre-Employment Physical Form, including sections for applicant medical history, physical exam results, doctor certification and applicant declaration

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Used 199 times

Frequently asked questions

The Pre-Employment Physical Form helps employers assess whether a job applicant is physically capable of performing required duties. It gathers medical history, examination findings, and a certification from a licensed examiner. It also includes an applicant declaration to confirm the accuracy of the information. The form supports employer compliance with health and safety standards and helps maintain a safe workplace.
The applicant completes the medical history section, a licensed medical examiner conducts the physical examination and completes the findings and the applicant signs the declaration.
Submit the completed form to HR or the hiring department for review and filing.

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