Health Status Statement Form

HEALTH STATUS STATEMENT FORM

This physician’s statement must be completed before you can begin any assignment with TDY.

Please DO NOT delay sending your completed application and other forms. This statement may be

sent at a later date, but must be sent prior to the start of your employment.

TB test results must be current within a year of employment with TDY Medical Staffing,.

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Chest X-ray results must be current within two years of employment with TDY Medical

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Staffing .

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Parent category: Medical