Fax (919) 779-8210-2025

See details

4.2 out of 5

53 votes

The document is a Medical Examination Report (Form F-2(LE)) used by the Criminal Justice Standards Division in North Carolina. It outlines the procedures for conducting medical examinations of candidates for criminal justice positions, including sections for recording personal information, visual and hearing acuity, cardiovascular health, and other physical assessments. The report must be completed by a qualified medical professional and retained by the hiring agency. It also includes tuberculosis risk questionnaires to assess potential health risks.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Fax (919) 779-8210

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the Medical Examination Report in the editor.
Begin by entering the date at the top of the form. This is essential for record-keeping.
Fill in the last four digits of the applicant's Social Security Number, followed by their full name, including first, middle, and last names.
Input the employing agency's name and the applicant's date of birth.
Complete the physical examination details such as height, weight, vision acuity with and without glasses, and hearing acuity.
Document cardiovascular information including blood pressure and resting pulse. Note any abnormal findings in the designated sections.
Answer all questions regarding tuberculosis risk and symptoms accurately. Ensure that any additional screening requirements are specified.
Finally, have a qualified medical professional sign and date the form before submission.

Start using our platform today to fill out your forms quickly and efficiently!

See more Fax (919) 779-8210 versions

We've got more versions of the Fax (919) 779-8210 form. Select the right Fax (919) 779-8210 version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2014	4.2 Satisfied (53 Votes)
2011	4.8 Satisfied (33 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do you address a state attorney in an email?

0:38 1:47 And remember professionalism is key so no Emojis or internet slang please. Now if youre in aMoreAnd remember professionalism is key so no Emojis or internet slang please. Now if youre in a courtroom it gets even more formal. Here you would refer to them as your honor.

How to write a complaint letter to the attorney general?

Writing a Letter Find the Attorney Generals contact information. Address the letter appropriately. Include your contact information. Start with an overview of the situation. Follow with a paragraph treating the details of the dispute. Describe how many people were affected. Describe steps you have taken.

How do I file a complaint with the Attorney General of North Carolina?

We prefer that you file your complaint via our online form. If you would like to file a complaint via hard copy, please call us on our consumer assistance line at (919) 716-6000, and we will mail you a complaint form.