Fill the Medical Fitness Certificate Form

Download the form

What is a Medical Fitness Certificate?

A medical fitness certificate, issued after having a medical examination, is a document that confirms an individual’s ability to engage in a certain occupational activity. A government hospital or a government-approved company can provide you with this document and must be signed by only a licensed medical practitioner. Legal action may be taken against medical practitioners who intentionally provide a fraudulent or misleading certificate.

Companies/businesses demand certain medical fitness certificates before hiring someone, in addition to safeguarding both the employee's and the employer's contract of work. These certifications ensure that employees are fit to work. Most medical fitness certifications are only valid for 15 days at a time, on average. If a person wants to prolong their certificate beyond the 15-day limit, they must renew their certificate at the conclusion of the period.

Record to be mentioned on a Medical Fitness Certificate.

The following key information is needed to be contained in the medical fitness certificate.

  • Candidate’s Personal Details
  • Results of Physical Examination
  • Blood group information
  • Vision Screening result
  • Result of Lung Function Test
  • Results of Hearing Test
  • Allergies or any other disease diagnosed
  • Prescription if the disease is diagnosed
  • Candidate’s signature
  • Date and station of medical examination
  • Doctor’s signature

Guide to Fill Out the Medical Fitness Certificate.

You may find other samples of medical fitness certificates but the following instructions can be followed for one specific example.

Step 1: Specify the name of the candidate along with the father’s name in block letters.

Specify the name on Medical Fitness Certificate

Step 2: Write down the group of the candidate’s blood in the space for “Blood group”.

Write down the blood group on Medical Fitness Certificate

Step 3: After completing the physical examination, note down the measurements for “Hight”, “Weight” and “Chest” in the blank spaces.

Note down the height, weight and chest on Medical Fitness Certificate

Step 4: Put down the results about the heart and lungs in the “Heart and Lungs” space.

Fill in the heart and lungs results on Medical Fitness Certificate

Step 5: After completing the vision test, enter the results of the left eye in the “L” space and the right eye in the “R” space. Also, note down the result about “Color Vision” in the space.

Fill in the vision result on Medical Fitness Certificate

Step 6: Report the results compiled after conducting a hearing test.

Fill in the hearing results on Medical Fitness Certificate

Step 7: Fill in the space about the “Hernia/Hydrocele/Piles” result if anything is diagnosed in the tests.

Fill in the Hernia results on Medical Fitness Certificate

Step 8: You must fill in the space if there is any disease diagnosed in the past or any other kind of “Allergies” found in the medical examination results.

Fill in the past diseases and allergies on Medical Fitness Certificate

Step 9: After completing the medical examination, you (doctor) need to prescribe any medication against the diagnosed diseases if any, and list in the spaces provided. You may use extra space if the available space is not sufficient for the prescription.

List the prescribed medication on Medical Fitness Certificate

Step 10: You can write down any other remarks related to the medical examination and its results. Or you may note down any remarks related to the fitness of the candidate.

Put in other remarks on Medical Fitness Certificate

Step 11: Please write the name of the candidate along with his/her father’s name to complete the medical examination certificate.

Fill in the identity of the examinee on Medical Fitness Certificate

Step 12: The signature of the candidate is a must-have on the medical fitness certificate.

Candidate signs the Medical Fitness Certificate

Step 13: You need to mention the station where the medical examination was carried out and also the date of the examination.

Mention the station and date on Medical Fitness Certificate

Step 14: Finalize the certificate of medical fitness by your (Doctor) signature and official seal which must be clear in reading.

Doctor signs the Medical Fitness Certificate

Who Needs Certificate of Medical Fitness?

You may need a medical fitness certificate in different sectors but the most common are as follows.

  • Many times, people have to meet certain health standards when they apply for something. To get certain jobs, you need to meet those certain health criteria or have a certain medical history.
  • Most pilots in the United States need to have a valid medical certificate that shows they are in good health in order to fly an airplane or helicopter.
  • It's critical in the construction sector for personnel at heights, such as construction workers, to be medically fit and sound.
  • If you're dealing with food in any capacity, it's essential that you're in excellent health. The food sector comprises manufacturing employees, waiters, cooks, and other service-industry personnel.
  • Medical fitness certificates are required by law for all drivers. Among these are operators of forklifts, cranes, and other heavy machinery. To demonstrate that an employee was fit to use the company vehicle/machinery, a medical fitness certificate is required.
Download PDFFill Out Form