Physical Exam Consent Template

This physical exam consent template has 2 pages and is a MS Word file type listed under our human resources documents.

Sample of our physical exam consent template:

PHYSICAL EXAMINATION CONSENT AGREEMENT This Physical Examination Consent Agreement ("Agreement") is made and effective this [Date], BETWEEN: [EMPLOYEE NAME] (the "Employee"), an individual with his main address at: [COMPLETE ADDRESS] AND: [YOUR COMPANY NAME] (the "Company"), a corporation organized and existing under the laws of the [State/Province] of [STATE/PROVINCE], with its head office located at: [YOUR COMPLETE ADDRESS] In connection with my application for employment with the Company, I hereby agree as follows: TERMS I, a current employee of [COMPANY] ("the Company"), understand that my current job requires a significant amount of physical activity and/or physical activity of a difficult nature. I understand that a physical examination is necessary to assess my continuing fitness for the essential functions of my job. In consideration for my desire for a safe work environment and for my own safety as well as the safety of my fellow employees, I give my consent for the Company to conduct the physical examinations it considers necessary as outlined in its "Physical Examination" policy.