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File type: PDF
File page: 9 Page(s)
File size: 32KB
The DOT Physical Form is a template of the medical examination report. This template is designed for the commercial driver and contains four main parts. The first part is the medical examination chart, the second part is the physical qualifications for drivers, the third section is the instructions to the medical examiner, and the last section is the medical examiner's certificate. With the completed content, this template will be a right choice for your reference, and this file is free to download.
This Medical Examination Report For Commercial Driver Fitness Determination is a pretty comprehensive template. This report contains several sections, namely, Driver's Information, Health History, Vision, Hearing, Blood Pressure/Pulse Rate, Laboratory and Other Test Findings, and Physical Examination. Besides, there are also physical qualifications for drivers and instructions to the medical examiner, which can be the reference standard of the examination report. This template is offered for free.
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