Patient Info
Full legal name, date of birth, contact details, employer or team affiliation and unique record ID to match records reliably.
A documented Fitness Assessment Procedure creates consistent assessments, reduces liability by recording objective findings, and supports ADA, OSHA, and workers’ compensation decisions. Standard forms improve repeatability and make it easier to compare assessments over time while providing a defensible record if a fitness or accommodation decision is challenged.
Assign clear role definitions in policy so each party knows whether they complete, review, or approve the assessment.
Full legal name, date of birth, contact details, employer or team affiliation and unique record ID to match records reliably.
Date/time, assessor name and licensure, tests performed, objective measurements, symptom report, and observed limitations with concise findings.
Clear mapping of functional abilities to essential job tasks or activity requirements, noting any restrictions or conditional clearances.
Return-to-work status, required accommodations, medical follow-up, physical restrictions, and recommended review interval or re-test date.
Signature blocks for the clinician and authorized organizational reviewer, plus dates and role titles to validate the decision chain.
Version, file ID, upload source, electronic signature metadata, and retention instructions to support compliance and record retrieval.
| Field | Configuration |
|---|---|
| Patient ID | Required, unique ID validation |
| Assessor Signature | Mandatory e-sign with timestamp |
| Conditional Fields | Show restrictions only when applicable |
| Upload Attachments | Allow PDFs, DOCX, images |
Ensure the chosen platform supports audit trails, secure storage, and any industry-specific compliance (HIPAA, FERPA) required by your organization.
Complete before start date; delays may affect onboarding
Issue within 24–72 hours of clinician decision when possible
Schedule annually or per job-specific risk assessment
Expedite within 24 hours for safety-critical roles
Provide copies to authorized parties upon request within reasonable time
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial, no card | Varies by plan | Varies by plan | Varies by plan | Varies by plan |
| Bulk Send | Yes (Business Premium) | Yes | Yes | Yes | Varies |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
| Envelope Cap | No envelope cap | 100 envelopes/user/year | Varies by plan | Varies by plan | Varies by plan |
An on-site clinic conducts baseline pre-employment tests for field staff
Athletic trainers evaluate student-athlete readiness after injury
An occupational health director reviews aggregate assessment data, authorizes clinical protocols, and signs final organizational clearances. Their signature verifies that the procedure followed established clinical and administrative policies and that restrictions are appropriately issued.
The licensed clinician (MD, DO, NP, or PA) performs the assessment, records objective findings, and provides the medical determination. This signer carries clinical responsibility for any fitness conclusions or recommended accommodations.
Save a PDF/A version with embedded signature metadata and audit trail to ensure an unalterable record for legal and clinical review.
Use DOCX when edits or templated updates are expected; convert to signed PDF once final and approved to preserve integrity.
Store in secure, access-controlled systems (EHR, HRIS, or approved cloud) with role-based permissions and activity logging.
Maintain an encrypted backup per retention policy and ensure authorized staff can retrieve records during audits or claims.