Civil Surgeon Worksheet. Web the citizens surgeon is responsible for the entire examination, including chest radiographs, when required, and necessary our procedures. Web civil surgeon's information family name (last name) given name (first name) middle name name of medical practice, facility, or health department physical address 3.
Street number and name current physical. The civil surgeon is also responsible to. Web civil surgeon worksheet (continued) b.
You Must Fill Out This Worksheet And Provide The Results Of Each Component Of The Medical Examination.
Web the civil surgeon) family name (last name) given name (first name) middle name (if applicable) 2. Web the citizens surgeon is responsible for the entire examination, including chest radiographs, when required, and necessary our procedures. The civil surgeon is also responsible to.
Web The Civil Surgeon.) Family Name (Last Name) Given Name (First Name) Middle Name (If Applicable) 2.
You must fill out this worksheet and provide the results of each component of the medical exam relating to: Web these technical instructions for civil surgeons include instructions on the various required component of the medical examination and answers to common. They will check and provide information about infectious diseases that.
Web Civil Surgeon Worksheet And Part 10.
Street number and name current physical address other. Web to be completed by civil surgeon: Street number and name current physical.
Class A Conditions (See Civil Surgeon.
Syphilis (1) serologic test for syphilis (required for applicants 15 years of age and older) (a) name of screening test. Form of applicant id presented (e.g., passport, driver's license) id number. The civil surgeon worksheet section relates to specific health conditions enumerated in 212(a)(1) ina § which are a part of the medical.
You Have To Get The Form Signed By A.
Web civil surgeon worksheet (continued) b. Web the civil surgeon fills out the worksheet in part 8 as they do the medical examination. Web these are the technical instructions for medical examination of aliens used by the civil surgeons in the medical examinations conducted in the united states.