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PREMIUM LEGAL RESOURCES LEGAL FORMS ASK A LAWYER

Employee Medical Consent

To:[doctor]

I, the undersigned individual, hereby give my consent for the
limited purpose of employment consideration to the below listed
medical examination procedures:

[List procedures here]

I am over the age of eighteen years. I authorize this consent
without limitation or uncertainty. I also understand that the
results of the examination will be forwarded to:

[company]

Date:

Employee


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Employee Medical Consent