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Form #673Medical Consent
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MEDICAL
CONSENT
For the limited purpose of
consideration of employment with ____________________, I, the undersigned
individual, asserting that I am over the age of majority do authorize the
following medical examination: _____________________________________________
____________________________________________________________________.
I realize that the medical
examination will be conducted for the benefit of my prospective employer and
will be included as a part of my prospective employer's determination whether
to extend an offer of employment to me.
I release both the medical
professional who will conduct such tests and _______________ from all liability
for diagnosis and treatment. I voluntarily authorize this consent without
limitation or uncertainty.
______________________________
: ____________________
Signature
Date
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not be construed as legal advice. You are strongly encouraged to consult competent
legal council before engaging in any action based upon content contained on this
site.
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or any other commercial use is prohibited. This includes reposting forms from this
site to another site offering free legal or other document forms for download.
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Your use of this site constitutes your acceptance of our terms of use and your agreement
to hold this site, its officers, employees and any contributors to this site harmless
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site. If you do not agree to the above terms, please do not proceed.
These forms are provided to assist business owners and others in understanding important
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that no legal advice, accounting, or other professional service is being offered
by these documents or on this website. Laws vary in the different states. Agreements
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state. Also, agreements should relate specifically to the particular facts of each
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