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FIREFIGHTER MEDICAL CLEARANCE FORM - Bozrah - bozrahfire 2026
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- Click ‘Get Form’ to open the FIREFIGHTER MEDICAL CLEARANCE FORM in the editor.
- Begin by entering your name and date of birth in the designated fields at the top of the form.
- In the Firefighter Statement section, check all duties you intend to perform. Ensure you select 'Yes' or 'No' for each duty listed.
- Next, have your primary physician complete the Physician/Examiner Statement. They will need to enter the examination date and indicate whether you are cleared for each duty by checking 'Yes' or 'No'.
- Your physician should also provide any specific limitations, follow-up evaluations, their name, signature, practice name, phone number, and medical examiner’s license information.
- Once completed, review all entries for accuracy before saving or printing your form directly from our platform.
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| 2009 | 4 Satisfied (52 Votes) |
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