Driver Training School Personnel Physical Examination X - Ohio - publicsafety ohio 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields, including NAME, PHONE #, ADDRESS, CITY, STATE, SOCIAL SECURITY #, DATE OF BIRTH, AGE, HEIGHT, SEX, WEIGHT, HAIR, and ZIP CODE.
3. Next, focus on the HEALTH HISTORY section. For each health condition listed (e.g., Asthma, Psychiatric disorder), select 'Yes' or 'No' based on your medical history. If you answer 'Yes' to any condition, provide additional explanations in the space provided.
4. Continue filling out any other relevant health conditions that may affect your ability to instruct students. Be thorough and honest in this section.
5. Once completed by the physician, ensure they sign and print their name along with the date and contact information before submitting the form.

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