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Statement of personal health and circumstances

Statement of Personal Health and Circumstances ( docx) 2026

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4.2 out of 5

37 votes

The document is a comprehensive 'Statement of Personal Health & Circumstances' required for employment applications under the Police Act 1998 and the Protective Security Act 2007 in South Australia. It includes detailed questions regarding the applicant's medical history, personal health information, social habits, and mental health status. The document emphasizes the importance of providing accurate information, as false statements can lead to legal consequences. Additionally, it outlines medical assessment guidelines for operational work within the South Australia Police, detailing physical requirements and fitness standards necessary for recruits.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Applicant Details' section. Enter your full name, date of birth, address, current occupation, previous occupations, sporting activities, and the name and address of your family doctor.
Proceed to the 'Medical History' section. Answer each question regarding past accidents, illnesses, surgeries, and any medications you currently take. Use the checkboxes provided for 'YES' or 'NO' responses.
In the 'Personal Social Information' section, provide details about your alcohol consumption and any drug use. Be thorough in your responses as this information is crucial.
Complete the remaining sections related to various health systems (cardiovascular, respiratory, gastrointestinal, etc.) by answering all questions accurately.
Finally, review your entries for accuracy before signing the declaration at the end of the document. Ensure that all fields are completed as required.

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Versions	Form popularity	Fillable & printable
2022	4.2 Satisfied (37 Votes)
2016	4.6 Satisfied (37 Votes)

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What is a personal statement of health?

A Statement of Health is a document containing a series of questions about your overall health such as if youre a smoker or if youve ever been treated for a medical condition, like cancer or high blood pressure. This information helps MetLife evaluate your life insurance application.

How to write a personal statement of Health?

How to SHOW and not tell Use sensory details to help set scenes. Share your personal emotions and indicate how your surroundings affected you. Be anecdotal and use examples to illustrate your observations. Write with the intention of communicating something original. Avoid general commentary.

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