Get Bcertificateb Of General Physical Examination For Adoption Applicant

This comprehensive guide provides detailed instructions for completing the Certificate of General Physical Examination for Adoption Applicant form online. The information gathered in this examination is crucial for assessing eligibility for adoption.

Follow the steps to accurately complete your form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the applicant's name and date of birth in the designated fields. Ensure that the information is accurate and current.
3. Provide the applicant's address. This should be the current residential address of the person applying.
4. Enter the date of the physical examination. Remember that this date must be less than 12 months old at the time of the dossier registration.
5. Complete the medical history section by circling 'No' or 'Yes' for each medical condition listed. Include any relevant explanations if necessary.
6. In the physical examination section, input the applicant’s height and weight. Measure accurately and record the values appropriately.
7. Record the vision results for both the left and right eyes, as well as the BMI and blood pressure of the applicant.
8. For each physical assessment (such as heart, liver, lung, lymph, and thyroid), indicate whether the results were normal or abnormal.
9. Fill in the dates of the blood test and urinalysis. Mark whether the results for these tests were normal or abnormal.
10. Indicate if the applicant is currently taking any medications, including the medication name and purpose.
11. Assess and record if there are any unfavorable elements of the adoption applicant's health that could affect a child’s upbringing and if the applicant's state of health is suitable for raising a child.
12. Finally, the examining physician must sign the form, include their printed name, license number, and state and county information. Ensure all fields are properly filled out to avoid delays.
13. Once all fields have been completed, save any changes, and download or print the form as needed. Consider sharing the document for further processing.

Complete your documents online for a smoother adoption process.