FREE 31+ Medical Clearance Forms in PDF | MS Word

Medical clearance forms are often directly given to an individual whenever he or she gets involved in a physical activity. However, there are some groups and organizations who know the advancement of technology by using convertible files and attachments sent over through an electronic mail. With this, clearance forms in PDF or portable document file formats become one of the options and the most effective choice whenever there is a need to assure one’s health before he or she will be participating in a particular program or training session. The benefits of using a medical clearance for day care centers for example are not limited to global availability but also due to its lightweight feature and creative representation.

A PDF formatted document allows the agency who created the form to have required fields which will not permit the user to send the form if the fields are not completed. By this, the form becomes interactive and reusable when a reset button is included for the user to return the form to its original state after sending his or her information to the agency’s database system. Lastly, a clearance form in PDF also lessens the usage of paper and ink, promoting an eco-friendly approach within the organization.

Medical Patient Clearance Form

Physician Medical Clearance Form

Blank Medical Clearance Form

Medical Practitioner Clearance Form

Types of Medical Clearance Forms in PDF

Medical Practitioner Clearance Form – Before heading to any adventurous trek, hiking and climbing activities, the participant must conduct a self-assessment with regards to his or her physical and mental condition. Most organizations and companies who deal with adventurous activities will not only need a self-assessment from the participant but also a thorough medical assessment from their licensed medical practitioner.

This is when an adventure participant medical clearance form example will be required to be completed by the medical practitioner to state whether the participant’s condition will be suitable for his or her choice of activities or if there are possible limitations to be considered due to a known illness that the participant has.

Child Medical Clearance Form

Child Medical Clearance Form – Children who will enroll in an educational institution’s special education system will be the target audience of this form. Specifically, this will be used for indicating the mental state of the incoming student and for determining what needs to be done by the teacher for teaching valuable lessons for him.

The form has an area for the child’s general information, the objective of the form, the results or the diagnostics, comments and the identification of the medical practitioner who administered the student’s medical assessment during the enrollment process of the institute.

Printable Medical Clearance Form

Medical Clearance Form – Clinical Pilates is a set of costumed exercises based on the needs of a client or a patient. This type of exercise focuses on restoring, healing, and renewing a patient’s injury, as well as his or her whole well-being. The Clinical Pilates instructor must be aware of the conditions of his or her clients in which he or she may need the usage of a medical clearance form for determining what varieties and sets of exercises will be for each client.

The form has a question with regards to a client’s contraindications and the details of the physician’s observations. The contact information of the Pilates gym organization is found on the bottom of the form to let the client and the physician call the organization.

Athlete Medical Clearance Form

Athlete Medical Clearance Form – Martial arts became a sport which is evidently taught throughout the globe. Before an athlete will be welcomed to be part of a combat league or alliance, he or she needs to be qualified physically with his or her skills and body state.

A combat athlete medical clearance form should have the martial arts event approval of the physician who administered a set of medical tests to the athlete’s medical condition, illness, and overall health. The physician may also indicate on the form, his decision of declining the athlete’s request to join the combat event due to risks that the athlete may acquire in the midst of the event.

Competition Medical Clearance Form

Competition Medical Clearance Form – There are varieties of sports in today’s generation ranging from centering on the mental abilities of an individual to the strength and skill that one may present in front of the audiences.

A competition medical clearance form is not only for those who will be joining a contest for the first time, but also for those who have been in the competition yet have acquired an injury due to an accident. With the form, the physician will be able to state the competitor’s health information and report if the competitor still has the effects of the injury which can hinder him or her from joining the contest again.

Concussion Medical Clearance Form

Concussion Medical Clearance Form – Headaches are commonly experienced by people. However, there are some who has this on a regular basis due to a concussion that they have acquired by participating in an impact sport such as boxing or any sport that requires an athlete to physically get involved.

To avoid having an injured athlete in competing or undergoing a training session feedback which may complicate his or her concussion, the athlete’s coach and the sport’s organization must demand the athlete to go through a medical examination and have a physician fill out a concussion medical clearance with the physician’s approval or declaration of the athlete’s health.

Dental Medical Clearance Form

Dental Medical Clearance Form – Dental health services are often provided as a free health service to some countries. Nonetheless, the dentists and medical professionals must assure that their patients will not be faced with risks during and after granting the service.

A dental medical clearance form will be essential for this instance to allow the dentist in conducting a patient assessment prior to the day the dental service will be provided. The patient will also be required to disclose his or her medical history and the medicinal products or the medications that he or she is currently taking to secure that the anesthesia and the service will not be triggering the effects of the product in the patient’s system.

Dental Surgery Medical Clearance Form

Oral Surgery Medical Clearance Form

What’s Required in a Dental Medical Clearance Form?

There are a number of questions and fields on a dental medical clearance form. However, the following are deemed as the vital sections to be answered by the dentist and the administering physician:

Patient’s Identification

The patient’s name and age can either be stated on a formal letter addressed to the physician or along the form which will highlight the patient’s details including his or her address and contact numbers.

Physician’s Identification

This includes the physician’s license number, office address and the date when the physician started providing the medical report of the patient.

Medications and Conditions

The physician must fully state the type of medications that the patient is taking in a list along with the patient’s current medical and health condition. Specific allergies and treatments to be proposed for the patient may also be included to acquire ways of helping cure the patient of the observed illness.

Along the stated required particulars of a dental medical clearance form, the physician will also have to indicate his or her final verdict of the patient’s capability in managing himself or herself during the dental surgery or service. If the patient will not be capable based on the observations of the physician, the dentist must consider the patient’s condition before granting and providing the service to omit complications.

Sports Center Medical Clearance Form

Medical Fitness Clearance Form

Medical Fitness Clearance Form – Enrolling in a physical fitness center does not only require an individual to have a good pair of rubber sole shoes but also to be physically able and active by presenting a clearance from his or her physician. Nonetheless, if an individual has declared that he or she had previous illnesses and diseases in his or her health history, he or she may undergo a health risk assessment to be catered by the fitness center to secure his or her health state.

A medical records release authorization is also included on the form which is vital for signifying that the individual who will be enrolling in the center has given his or her permit for the center to gather and record his or her medical information.

Football Medical Clearance Form

Football Medical Clearance Form – With this form, the physician has to indicate that he or she has a state license of being a medical practitioner and that the football athlete is an individual whom he or she has administered a medical assessment for the intention of joining the football league.

The clearance may only be given to the football athlete if he or she is able to pass the medical examination or assessment without any medical complications such as having a disease or a respiratory illness. The football association aims to secure the fitness, maintain the health of their athletes, and avoid any possible risks and hazards during the game.

Human Kinetics Medical Clearance Form

Human Kinetics Medical Clearance Form – Being part of a human kinetics program will demand the participants to be aware of their physical and overall health condition. With this, they need to meet the requirements of the program organizers such as being capable of dealing with vigorous activities and pass the fitness or health appraisal tests provided by a licensed medical practitioner.

A human kinetics medical clearance will be given to the participants who successfully underwent the medical form tests. This document has a section for the student’s declaration that certifies his or her awareness and knowledge about being enrolled or granted with an admission in the program.

Probation Medical Clearance Form

Probation Medical Clearance Form – Truancy or skipping a class in an educational institution is considered a criminal act in some countries which often incarcerates minors. These children and teens are sent to a juvenile detention agency where they will be monitored and disciplined.

However, before these minors will be under the state’s guidance, they need to undergo an examination of their physical and mental health state to determine if the detention center will be beneficial for them along with other minors or if there is a need to isolate the minor from the residents of the center. The results of these exams will be written on a probation medical clearance form which is completed by the detention’s physician.

Medical Physician Clearance Form

Medical Physician Clearance Form – In the recruitment process of police agencies and organizations, an applicant’s physical fitness is essential along with his or her mental abilities and skills acquired during his or her education years. The police recruit’s medical physician clearance form will state the name of the applicant, his or her address and his or her date of birth.

A formal letter is the first part of the form which indicates all the information that the physician may need in conducting the medical physical examination to the applicant. The applicant’s blood pressure is one aspect that is to be observed and recorded by the physician on the form. Additionally, the physician is also required to include his general details on the form to allow the recruiters in contacting the physician in events of inquiries and questions about the applicant.

Standard Medical Clearance Form

Presurgical Medical Clearance Form

Medical Preoperative Risk Clearance Form

Medical Pre-operative Risk Clearance Form – Blood clots, delayed healing, and even infections are listed as the known risks of illness that needs a surgical operation. This is why surgeons assigned to each patient must demand the patient’s submission of a medical pre-operative risk clearance form from the patient’s physician. The form must indicate the type of surgical operation that the patient will undergo, the expected time duration of the surgery, the date when the medical examination was conducted, the findings of the doctor, as well as the patient’s medical history with regards to surgeries, medical illness, tobacco addiction, and family-related acquired medical diseases.

Medical Health Clearance Form

Medical Health Clearance Form – Not all exercises are beneficial to everyone, which is why gyms and workout centers aim to assure that their members and staff are equipped with the knowledge of what they are doing.

A gym member medical clearance form is presented to the prospective clients of the gym for them to have an assessment from their physicians and to enable the gym management to know if a member will be needing a special assistance during his or her workout and training evaluation sessions or not. The physician’s medical report for the member will be summarized and indicated on the form along with a few details if a member has an illness or disability.

Medical Clearance Checklist Form

Medical Clearance Checklist Form – Compared to the aforementioned medical clearance forms, this document has a checklist format which allows the physician to easily indicate the medical state of the patient. The form includes the physician’s observations with regards to the patient’s psychiatric condition, abnormalities of the patient’s vital signs, the results of the patient’s physical exam, probabilities of risky presentation, and the therapeutic levels that the patient may need.

As there is a checklist on the form, the scoring procedures are similar to gathering results of a health survey where the data collectors will indicate the range of scores and their respective definitions or conclusion.

Personal Trainer Medical Clearance Form

Personal Trainer Medical Clearance Form – Body analysis, strength and maximum aerobic tests and training evaluations are some of the examinations that the personal trainer’s client may undergo before the trainer will grant him a service. The form will mainly contain the health statement of why the clearance is needed by the client in a form of a single-paragraphed letter. It will also have the physician’s report as to his or her decision if he or she grants permission for the client to participate fully, or with caution, limitation and if he or she will not permit the client to undergo exercises with the associated number of reasons why the decline has been made.

Pregnancy Medical Clearance Form

Pregnancy Medical Clearance Form – In the old decades, when a woman is known to carry a baby in her womb, she will then be eliminated from exercise and training feedback sessions. However, due to the study that professionals have made years ago, pregnant women of various pregnancy stages are now enrolling in fitness centers and prenatal yoga classes.

With this, the instructors and the exercise program staff must make sure that they have gathered sufficient amount of personal information and necessary data about their pregnant clients to avoid dealing with miscarriages and liabilities. A pregnancy medical clearance is expected to be submitted to the management before a new pregnant client is enrolled and accepted to join the prenatal sessions. The form, like all other documents states the physician’s approval and disapproval with regards to the interest of the client.

Rehabilitation Medical Clearance Form

Rehabilitation Medical Clearance Form – Bone surgeries and cervical medical procedures are dangerous and often life-threatening to some patients which is why surgeons of these medical categories should acquire a medical clearance from their patients before performing the surgery. The surgery rehabilitation medical clearance form will specifically state the needed treatments for the patient and the contact information of the rehabilitation center.

Medical Clearance Form for Respirator Use

Medical Clearance Form for Respirator Use  – Regardless if a respirator is a full-face, dust mask or a half face type, an individual must submit a medical clearance to the health county before he or she will be allowed to use the respirator of his or her choice. An employee information section is indicated on the form which will be for the details of the respirator user, while an employer section will be for the company where the user is employed and will be using the respirator.

However, the employee should head to a health professional before the employer will allow him or her to use his or her respirator within the premises of the company to determine the use category of the employee and to state the physician’s suggestions for the employee’s well-being.

Medical Training Clearance Form

Medical Training Clearance Form – Ice skaters and roller skaters are people who achieve creativity by means of dancing with their skate shoes on. A skate medical clearance form states the legal name of the skater, his or her date of birth, the reasons for his or her absence and an indication of whether a skate claim form has been previously submitted or not. Additionally, it also includes the details of the medical professional or the health care claim provider of the skater who conducted the assessment along with their verdict of the skater’s condition.

Medical Camp Clearance Form

Medical Camp Clearance Form – Camps are enjoyable and time-worthy, but they are also risky if the participants were not prepared and oriented about the dangers of their actions in the duration of the activity. With this, a camp medical clearance form will be an essential tool for securing the health and safety of the participants. This form will be accompanied by the previous medical questionnaire which was answered by the camp participants.

The questions wherein a participant have answered “yes” will be the areas which are to be focused by the administering physician. Along with the two documents is a physical examination form which will be completed by the physician with his or her observations, results, and his or her interpretation regarding  the state of a camp participant.

Tuberculosis Medical Clearance Form

Tuberculosis Medical Clearance Form – Over a million people have already been counted in tuberculosis’ global mortality rate which triggers the need for educational institutions to promote TB awareness throughout their staff and students. A tuberculosis medical clearance form is a document which is given to a student who has been known to be diagnosed or has seen to be involved with symptoms of the illness.

The physician who handled the student’s case should state what type of TB test was taken by the student whether it was a skin or a blood test. A health declaration will be indicated on the form to certify if a student is TB free or if the student indeed had the illness at a particular stage.

Training Program Medical Clearance Form

Basic Medical Clearance Form

Medical Clearance in the Employment Industry

Though a medical clearance is often used when an individual will be doing a physically draining activity such as getting involved in sports and competitions, this document is also vital in the business and employment industry. If a worker or an employee have been out of a company due to an injury, he or she will need an approved medical clearance to perform back to work. Otherwise, he or she will not be allowed and accepted in the company. The medical clearance serves as a legal form that holds the accountability and obligation of the company to give ample time for the employee to heal before bombarding him or her with his or her daily tasks which may cause severity in his or her condition.

The form will also aid the company in knowing what type of medical services they may provide as part of the employee’s involvement in their corporation as some companies give out free medical checkups and medication to their employees. However, the representation of a medical clearance form does not mean that an employee will be fit to work immediately and start with his or her roles in the company as it may only mean that the employee has been examined and will be nearing the stage to being fully healed. In the event that the employee’s participation will be required in his or her job, the company may assign him or her to a task which will aid his or her healing process and allow him or her to deal with lighter yet significant duties such as filing papers or answering phone calls.