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Get and Sign Peme Format 2017
Of the medical examinations for the following is based upon the 2017 American Club Pre-Employment Medical
Examination Guidelines. All relevant examinations must be completed and recorded below.
Examination
Results of Examination
Pass
Fail
Examination
1. Medical History Questionnaire
(attached)
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13. Ultrasound examination
(presence of gall and/or kidney
stones)
14. Hep B Antigen
15. Hep C Antibodies
16. VDRL
17. HIV...
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