Certificate Of Medical Fitness Form PDF Details

When joining certain positions, particularly in government or government-affiliated roles, it's crucial to verify an individual's physical and mental health status to ensure they can fulfill their duties effectively. This is where the Certificate of Medical Fitness comes into play—a document designed to record an exhaustive health check-up of an individual, conducted only by a Gazetted Government Medical Officer or a Medical Officer of a Government Undertaking. The stringent requirement that the certificate can only be issued by these officials, excluding private medical practitioners, underscores its significance and ensures uniformity and credibility in health assessments. The form captures intricate details including the individual's name, blood group, physical measurements like height and chest size, heart and lung condition, vision and hearing capabilities, as well as any diagnosed diseases, allergies, and medications prescribed. It closes with a declaration by the examining medical officer, certifying the individual's fitness after a thorough examination. This certification plays a pivotal role in not just safeguarding the well-being of the individual but also in maintaining high standards of physical fitness within the organization, thereby ensuring that the workforce is robust, healthy, and capable of performing their assigned roles without hindrance.

QuestionAnswer
Form NameCertificate Of Medical Fitness Form
Form Length1 pages
Fillable?Yes
Fillable fields22
Avg. time to fill out4 min 39 sec
Other namesmedical certificate format for job, certificate of medical fitness, physical fitness certificate pdf for job, medical fitness certificate online

Form Preview Example

CERTIFICATE OF MEDICAL FITNESS

(TO BE DEPOSITED A T THE TIME OF JOINING)

To be obtained only from Gazetted Government Medical officer/Medical Officer of a Government Undertaking. (Please note that in no other form this certificate will be accepted. Medical Certificates issued by private medical practitioners will not be accepted.)

Name.........................................................................................................................................................

(in Block Letters)

Father’s Name : ........................................................................................................................................

Blood group/Anemic (Blood Count) …………………………………………………………………………..

Height :

Weight

Chest:

Heart and Lungs :

Vision : L :

R :

Colour Vision :

Hearing :

Hernia/Hydrocele/Piles : ............................................................................................................................

Any other disease diagnosed in past: ………………………………………………………………………..

Allergies, if any……………………………………………………………………………………………..

List of prescribed medication, If any……

1.…………………………………………………

2.…………………………………………………

3.………………………………………………….

Any other Remarks : ………………………………………………………………………………………..

I certify that I have carefully examined Mr./Ms

.............................................................son/daughter of Mr.

.............................................................................

who has signed in my presence. He/she has no mental

and physical disease and is FIT.

 

Signature of the candidate

 

Station :

Signature of the Medical Officer

Date :

with legible seal.