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  • 9798 Medical Fitness Certificate T38 Mar 2018

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    Tanim Ahmed
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    This document is a certificate of medical fitness issued by a physician. It certifies that the patient named on the form was examined by the physician on a specific date and that based on the examination, the physician is of the opinion that the patient is medically free from any communicable or transmissible diseases. The form must be stamped by the examining physician and includes fields for the patient and physician information as well as the physician's signature and date of examination.

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    This document is a certificate of medical fitness issued by a physician. It certifies that the patient named on the form was examined by the physician on a specific date and that based on the examination, the physician is of the opinion that the patient is medically free from any communicable or transmissible diseases. The form must be stamped by the examining physician and includes fields for the patient and physician information as well as the physician's signature and date of examination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    7 views1 page

    9798 Medical Fitness Certificate T38 Mar 2018

    Uploaded by

    Tanim Ahmed
    This document is a certificate of medical fitness issued by a physician. It certifies that the patient named on the form was examined by the physician on a specific date and that based on the examination, the physician is of the opinion that the patient is medically free from any communicable or transmissible diseases. The form must be stamped by the examining physician and includes fields for the patient and physician information as well as the physician's signature and date of examination.

    Copyright:

    © All Rights Reserved
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    Fiona Chapman, Director

    Business Licensing and Regulatory Services

    Municipal Licensing and Standards East York Civic Centre Tel: 416-392-6700
    Carleton Grant, Executive Director 850 Coxwell Avenue, 3rd Floor Fax: 416-392-4515
    Toronto ON M4C 5R1 www.toronto.ca/licences
    mlsbusinesslicence@toronto.ca

    CERTIFICATE OF MEDICAL FITNESS


    Valid for 30 days from Examination date

    Client / Patient Information:

    Surname:

    Given Names:

    This is to certify that I examined the above named person on


    Date

    and I am in the opinion that he/she:

    Is medically free from any communicable or transmissible diseases.

    Signature of Physician:

    Physician's Stamp

    Physicians Name:

    Address:

    Telephone No.:

    FORM MUST BE STAMPED BY PHYSICIAN

    May 2019

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