Free Pre-Employment Medical Examination Checklist

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	YES	NO
Blood Pressure Measurement
Heart Rate Measurement
Respiratory Rate Measurement
Temperature Measurement

	YES	NO
Visual Acuity Testing (e.g., Snellen chart)
Color Vision Testing (e.g., Ishihara test)
Peripheral Vision Testing (e.g., confrontation test)
Depth Perception Testing

	YES	NO
Audiometry Test
Tympanometry Test
Acoustic Reflex Test
Speech Recognition Threshold Testing

	YES	NO
Review of Personal Medical History
Review of Family Medical History
Review of Previous Surgical Procedures
Review of Current Medications and Allergies

	YES	NO
Verification of Complete Immunization Records
Verification of Vaccination Against Hepatitis B
Verification of Influenza Vaccination
Verification of Tetanus, Diphtheria, Pertussis (Tdap) Vaccination

Free Pre-Employment Medical Examination Checklist

Vital Signs Assessment

Vision Testing

Hearing Assessment

Medical History Review

Immunization Verification

General Health Screening

Laboratory Testing (if applicable)

Mental Health Evaluation (Optional)

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	YES	NO
Body Mass Index (BMI) Calculation
Skin Examination for Abnormalities
Abdominal Palpation
Musculoskeletal Examination

	YES	NO
Complete Blood Count (CBC)
Lipid Profile
Blood Glucose Level
Urinalysis

	YES	NO
Screening for Depression (e.g., PHQ-9)
Anxiety Disorder Screening (e.g., GAD-7)
Cognitive Function Assessment