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211
Revised 2018
MEDICAL CERTIFICATE
(For Employment)
INSTRUCTIONS
a. This medical certificate should be accomplished by a licensed government
physician.
b. Attach this certificate to original appointment, transfer and reemployment.
c. The results of the following pre-employment medical/physical/psychological
must be attached to this form:
Blood Test
Urinalysis
Chest X-Ray
Drug Test
Psychological Test
Neuro-Psychiatric Examination (if applicable)
ADDRESS