Occ Med Note

//{Last Name}, {First Name}

Above note reviewed.    

███ SUBJECTIVE ███

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    Occupational health/fitness exam conducted as part of a routine {|PERIODIC||TERMINATION||BASELINE|} medical surveillance/certification evaluation.

    See PC MATRIX (SF-600 OVERPRINT) in the patient's health record.  Work exposure history form current for occupation and Environmental Exposure.  Legal Documents reviewed: signature, witness, date, and time verified.

ROS:  10 system review of systems completed, all negative except as above.

███ OBJECTIVE ███

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PHYSICAL EXAM:

    See the PC Matrix generated written documentation of physical findings.

TESTS: 

    See PC Matrix for tests performed and applicable results.

███ IMPRESSION & PLAN ███

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Impression:

# Occupational Health Program Examination

Plan:

{-- Qualified for designated medical surveillance/certification programs.}

{-- No work limitations or restrictions noted.}

//Coding:  DOD0215

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