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Download bEmployee Physical Formb - Nurse Connection Staffing Inc 2025

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The document is an Employee Physical Examination form that collects personal and medical history from the employee, including any past operations, disorders, and current medications. It requires the employee's affirmation of the accuracy of the information provided. Additionally, it includes a section for a physician or authorized professional to assess the employee's health status, record vital signs, and confirm that there are no health impairments affecting job performance. The form also addresses immunization records and compliance with health department requirements.

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