Forms- MAF medical assessment form

Question 1

Forms- MAF medical assessment form

Sections A to be completed by

Answer 1

employee

Question 2

Forms- MAF medical assessment form

Section B employee authorization for release of information, to be filled out by

Answer 2

to be signed by employee

Question 3

Forms- MAF medical assessment form

Section c attending physician report. to be completed by

Answer 3

physician