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MEDICAL
HISTORY
What is your blood type?
List any medical problems or issues
from which you suffer.
How many operations have you had?
For what?
Do you have any medical conditions that
may affect your employment with our organization? Explain.
When is the last time you went to the
doctor?
Have you every had any types of
problems with your knees or back? What about other areas of your
body?
Is there anything related to medical or
illness that you have not already disclosed to us?
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