Form online 2026

1. Click ‘Get Form’ to open the Physician’s Medical Release Form in the editor.
2. Begin by entering the applicant's NAME and DATE OF BIRTH in the designated fields. Ensure accuracy as this information is crucial for identification.
3. Input the SOCIAL SECURITY NUMBER (SSN#) in the appropriate field. This is necessary for record-keeping and verification purposes.
4. Review the list of essential physical tasks and check any contraindications that apply to the individual. This will help determine their ability to participate in physical ability testing.
5. Select one of the options regarding contraindications by checking either 'There are no contraindications' or 'There are contraindications.'
6. Finally, have the physician, physician assistant, or nurse practitioner sign and date the form at the bottom. Ensure that their printed name is also included for clarity.

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