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General Health Statement For: I have examined the above individual and found him/her to be in good health, free from communicable disease(s), and physically capable of performing the essential job.

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Your Personal Health Statement (PHS) is designed to help you better understand your recent medical and prescription claims including: Total amounts charged. Your discounts just for being a member. What your health plan paid on your claims. And what you owe, or may have paid, to your medical provider.

I have examined the individual named above and to the best of my knowledge; he/she is in good physical and mental health, free of any communicable diseases and is able to function in his/her profession at full capacity. By signing below I certify that the above information is true.

Tips for Writing a Personal Statement Reflect on your academic and extracurricular experiences and how they have shaped your motivations for a career in health care. Create a list of experiences that represent the evolution of your path to a career in health care. Identify key people (mentors, faculty, supervisors...)

This form or a photographic copy of it authorizes to the extent permitted by the state laws of the applicable state any doctor or other practitioner and any hospital or sanitarium to give the Insurance Company all information you may have concerning my condition or that of my wife and children...

What is a statement of good health? It's a document containing a series of questions about your overall health, such as if you're a smoker or if you've ever been treated for a medical condition, like cancer or high blood pressure.

Medical statement means a written statement issued by a physician licensed by a State Board of Medical Examiners.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232