Get Physicians Assessment

This guide provides comprehensive instructions for completing the PHYSICIANS ASSESSMENT form online, ensuring that applicants can effectively document their compliance for employment or training in law enforcement or related disciplines. Each section will be explained step-by-step for clarity.

Follow the steps to accurately complete the PHYSICIANS ASSESSMENT.

1. Press the ‘Get Form’ button to access the PHYSICIANS ASSESSMENT document online, allowing for easy editing and completion.
2. Enter the applicant’s full legal name in the field designated for 'Applicant’s Name.' Ensure that the spelling is correct.
3. Provide the last four digits of the applicant's Social Security Number in the corresponding field.
4. Input the name of the hiring agency in the 'Hiring Agency' field, if applicable. If the applicant is not applying for a specific position yet, this can be left blank.
5. Specify the training school in the field labeled 'Training School' if the applicant is enrolling in a Basic Recruit Training Program.
6. Indicate the applicant's desired discipline for employment or training by checking the appropriate box for Law Enforcement, Correctional, or Correctional Probation.
7. Review the student participation section carefully and ensure that any physical fitness conditioning program developed by the training center is attached.
8. In the section regarding medical conditions, acknowledge any conditions that may affect participation in the training, ensuring that all relevant details are reviewed.
9. The applicant should provide a printed name, signature, and date to confirm the accuracy of the information submitted.
10. The examining physician will enter their name, assess the applicant's medical fitness for the training, and complete the required attestations.
11. The physician will mark the appropriate responses for pre-existing conditions, sign, include their license number, and enter their professional address.
12. Review all completed information for accuracy before submitting, ensuring all necessary sections are completed.
13. After reviewing, users can save their changes, download a copy, print the form, or share it as required.

Complete the PHYSICIANS ASSESSMENT online today to ensure your application is processed efficiently.