CNA Program Physical Examination Form CNA Program Physical Examination Form 2026

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  1. Click ‘Get Form’ to open the CNA Program Physical Examination Form in the editor.
  2. Begin by entering your personal information in the designated fields, including your name, student ID, address, phone number, and date of birth. Ensure all details are accurate.
  3. Complete the Health History Profile section by answering questions regarding any past medical conditions or treatments. Use the text box to explain any 'yes' answers for clarity.
  4. Schedule an appointment with your health provider and take this form along. After your examination, have your health professional fill out the Physical Exam section on page 2.
  5. Once completed, submit the form along with proof of immunizations through our platform for easy distribution.

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In general, the standard physical exam typically includes: Vital signs: blood pressure, breathing rate, pulse rate, temperature, height, and weight. Vision acuity: testing the sharpness or clarity of vision from a distance.
While requirements differ by state, prospective CNAs should be prepared to complete a state-approved CNA program at an accredited institution before going through the process of becoming certified.
The CNA exam will consist of two parts: a written portion (also known as a knowledge exam) and a clinical skills test. The written test is intended to measure a candidates mastery of nursing assistant knowledge and skills. The test consists of 60 multiple choice questions, with 90 minutes to complete them.
The most surefire thing that will immediately cause you to fail your pre employment physical is if illegal drugs appear in your urinalysis or blood work. While most health conditions will not disqualify you, here are a few that could cause you to fail your employment physical. An irreparable vision or hearing deficit.
In general, the standard physical exam typically includes: Vital signs: blood pressure, breathing rate, pulse rate, temperature, height, and weight. Vision acuity: testing the sharpness or clarity of vision from a distance. Head, eyes, ears, nose and throat exam: inspection, palpation, and testing, as appropriate.

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The CNA exam consists of a written/oral test and a skills test or demonstration. Both parts must be completed and passed to receive a CNA certification in the state in which it is taken. The first part of the CNA test is the written (or oral, if preferred) exam.
A physical exam checks your overall health. Your healthcare provider will evaluate the basic function of your organs, address any concerns, update your vaccinations and help you get healthy or maintain good health. Get a physical exam each year. It takes about 30 minutes to complete.

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