Healthcare screening certificate.
Sample Health Screening Certificate
What does a health screening certificate look like?
Biodata of individual with photograph
Medical history
Clinical Examination
Laboratory, radiology, and other examination

Name:	Asif Qureshi
Attached photograph:
Abilities, skills details:	Executive level abilities, executive guide.
Achievements:	Take a look at this. Http://www.qureshiuniversity.com/aboutthefounder.html
Address:	Asif Qureshi, 5042 N. Winthrop Ave. #237, Chicago, Illinois 60640. (1999-2014)
Behavior:	Always well behaved.
Competence:	Able to guide 611 professions.
Date of Birth:	March 30, 1967

Physical and mental fitness relevant to age.
Fitness for duty relevant to profession or work.

These are two different evaluations.

Medical history

Does the individual have any medical complaints at this point?
No.

Clinical Examination

1. Weight:	79kg 378.66g = 175lb 5.1775oz
2. Height:	5 feet 10 inches = 177.8 cm
3. Blood Pressure:	120/80 mmHg
4. Pulse:	72 per minute
5. Vision:	Right eye, 20/20; left eye, 20/20; color blindness, no
6. Eyes:	Normal
7. Ears:	Normal
8. Cardiovascular system:	Normal
9. Respiratory system:	Normal
10. Liver:	Normal
11. Kidney:	Normal
12. Spleen:	Normal
13. Locomotor:	Normal (walk for 1 minute)
14. Mental condition:	Normal
15. Mental status examination:	Not required/required
16. Others:	Normal

Functional assessment is different than the above assessment.

Depending on findings, further clinical examination can be required.
Inspection (observation), palpation, auscultation, if required.
Discussion, if required (mental status examination).

Laboratory, radiology, and other examination

1. Chest X-Ray:	Normal
2. Sexually transmitted diseases:	No findings of STD
3. Urine albumin, sugar, opiates:	negative
4. Random blood sugar:	115 mg/dl
5. Blood chemistry panel:	Normal

Above are relevant laboratory, radiology, and other examinations. There are thousands of medical conditions. Laboratory, radiology, and other examinations have to be relevant to any symptoms, signs, or diagnosis. How would I describe your health status relevant to your age? 100% mentally fit. 100% physically fit. What can be options in describing your health status relevant to your age? Reasonable adjustment not required. Reasonable adjustment required. If Reasonable adjustment is required, what type of adjustment would that be? Certification I certify I have evaluated and examined the above person. In my opinion, the person is physically and mentally fit for employment. Fitness for duty relevant to profession. Fitness for duty for professional endeavors needs forensic psychiatry evaluation. Fitness for duty abilities and knowledge relevant to a specific profession are done by forensic psychiatry evaluation. Date of this evaluation: