Medical Evaluation Form

A medical evaluation form is filled by a doctor who examines and evaluates a patient’s condition. Sometimes the patient may ask for an evaluation himself, and sometimes, insurance companies, the social security department or the patient’s employers may seek an expert opinion if the person has been diagnosed with any illness or has met with an accident. These medical evaluation forms are extremely important if the patient wants to claim benefits from any social security body, insurance firm, if he needs leave from work or if he needs to show a clean bill of health to join work again. The doctors does a check up on the patient, conducts some tests if necessary and fills up the form based on his examination.

You can Download the Medical Evaluation Form, customize it according to your needs and Print. Medical Evaluation Form Template is either in MS Word or in PDF.

Sample Medical Evaluation Form

Medical Evaluation Form


Download Editable Medical Evaluation Form for only $4.99

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Category: Evaluation Forms

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