Get Office Of Emergency Services Further Evaluation ...

Filling out the Office of Emergency Services Further Evaluation form is essential for ensuring safety and compliance within emergency services. This guide provides clear, step-by-step instructions to assist users in completing the form accurately online.

Follow the steps to complete the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the evaluation form and open it in your online editor.
2. Begin by entering the member’s name in the designated field. Ensure the name is spelled correctly for record-keeping.
3. Provide the member’s mailing address in the appropriate section. This is important for any follow-up communications.
4. Answer the medical questions labeled 1 through 16 by selecting 'YES' or 'NO'. It's crucial to answer truthfully, as a 'NO' indicates that the member is fit to wear self-contained breathing apparatus. Each question addresses significant health concerns relevant to the member's ability to perform duties.
5. If the member has any medical problems being treated, please indicate this in the respective field.
6. Obtain the member's signature in the designated area to confirm that the information provided is accurate.
7. Include the date of signing in the field specified.
8. A licensed health care professional must complete their section, including the date, especially if any 'YES' responses were provided. This step may also require further evaluation.
9. Review all entered information to ensure accuracy and completeness before finalizing.
10. At this stage, you can choose to save the changes, download, print, or share the form for submission.

Start completing your documents online today for a streamlined process.