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I understand that I am responsible for following up with my own healthcare provider on any abnormal findings that arise during the pre-employment physical conducted by the healthcare screening provider at NYU. I understand that NYU will not provide follow-up treatment for such findings. PRINT NAME SIGNATURE The information contained in this form is of a strictly confidential nature. NEW YORK UNIVERSITY PRE EMPLOYMENT PHYSICAL Human Resource Department only Name of HR Representative scheduling...
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How to fill out pre employment physical form

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01
First, gather all necessary information and documentation required for the form, such as personal identification, health history, and previous medical records.
02
Carefully read through the form and ensure that you understand each section and question.
03
Begin by providing your personal details, including your full name, address, contact information, and social security number.
04
Proceed to fill out the health history section, providing accurate and detailed information about any past medical conditions, surgeries, or medications you have taken.
05
If there are any specific medical examinations or tests that need to be conducted as part of the pre-employment physical, make sure to indicate that on the form.
06
Answer all the questions pertaining to your overall physical and mental health, ensuring to disclose any relevant information honestly.
07
If required, provide the contact information of any healthcare professionals or doctors who have treated you in the past.
08
Read through the form once again to make sure all sections have been completed accurately and thoroughly.
09
Sign and date the form, certifying that the information provided is true and accurate to the best of your knowledge.
10
Submit the filled-out form to the designated personnel or organization responsible for processing pre-employment physical forms.

Who needs pre-employment physical form?

01
Individuals who are applying for a job that requires physical exertion or could potentially have health risks associated with it may need to fill out a pre-employment physical form.
02
Employers may require a pre-employment physical form to assess an individual's physical and mental fitness for a particular job.
03
Some organizations or industries, such as the military, law enforcement, and healthcare, often require pre-employment physical forms as part of their standard hiring procedures to ensure the safety and well-being of their employees.

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A pre-employment physical form is a document filled out by a potential employee prior to being hired by a company. This form typically covers the employee's medical history, physical capabilities, and any other relevant health information. It is used to ensure that the applicant is able to safely and effectively perform the duties of the job they are applying for.
Pre-employment physical forms are typically required for employees who are going to be working in physically demanding roles, such as construction workers, firefighters, police officers, and commercial drivers. Depending on the type of job, employers may also require pre-employment physicals for other positions.
The purpose of a pre-employment physical form is to provide the employer with information about the physical health of the applicant, such as any existing medical conditions, any medications being taken, and any physical limitations that may affect the applicant's ability to perform the job. It also serves as a record of the applicant's overall health at the time of hire.
The penalty for the late filing of a pre-employment physical form will depend on the specific jurisdiction and company policies. Generally, employers may assess a late fee or may even disqualify an applicant from employment if the form is not filed on time.
Filling out a pre-employment physical form typically involves the following steps: 1. Read the form carefully: Make sure you understand all the instructions and information required. 2. Personal Information: Provide your full name, address, contact number, and email address. 3. Employment Details: Fill in the job position you are applying for and the company name. 4. Medical History: Fill out your medical history honestly, including any pre-existing medical conditions, allergies, surgeries, medications, and any other relevant information. 5. Immunization Records: Provide details of your immunization records, including vaccinations received and dates. 6. Emergency Contact: Write down the name, relationship, and contact information of a person to be contacted in case of an emergency. 7. Signature and Date: Sign and date the form, ensuring that you have provided accurate and complete information. 8. Attachments: If there are any additional documents required, such as medical reports or test results, attach them to the form as instructed. Note: It is essential to be truthful in your responses as false information may lead to disqualification from employment or legal consequences.
The specific information that needs to be reported on a pre-employment physical form can vary depending on the employer and the nature of the job. However, some common information that is typically required to be reported includes: 1. Personal information: This includes the employee's full name, address, phone number, email address, date of birth, and social security number. 2. Medical history: The employee is usually required to disclose their medical history, including any past illnesses, surgeries, hospitalizations, chronic conditions, and current medications. 3. Immunization history: The form may require information regarding the employee's immunization history, including vaccinations for diseases such as tetanus, hepatitis, influenza, etc. 4. Allergies: The employee may need to disclose any known allergies, such as food allergies, medication allergies, and environmental allergies. 5. Current medical conditions: The employee may need to disclose any existing medical conditions they have, such as diabetes, high blood pressure, asthma, or other chronic illnesses. 6. Disabilities or limitations: If the employee has any disabilities or physical limitations that may affect their ability to perform certain job duties, this information may need to be reported. 7. Drug and alcohol use: The form may require the employee to disclose any current or past drug or alcohol use. 8. Family medical history: Some forms may also ask for information regarding the employee's family medical history, specifically focusing on genetic or hereditary conditions. 9. Additional tests and exams: Depending on the job requirements, the form may require additional tests and exams, such as vision tests, hearing tests, lung function tests, or drug screenings. It is important to note that the specific information required on a pre-employment physical form may vary depending on legal requirements, industry regulations, and company policies. Additionally, the information provided on the form is typically kept confidential and is used by employers to evaluate the employee's fitness for the job and identify any potential health risks or accommodations that may be needed.
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