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Virtual Medical Physical Appointments

  • You will scheduled an appointment in the event we need to call you. Please note, we will only contact you by phone if you indicate a relevant medical condition on your medical history form.

  • If you do not have any relevant medical conditions, you will not receive a phone call at your appointment.

  • Instead, after your appointment, you will receive your medical physical statement through our e-signature platform. 

Medical History Form

Do you have any medical or psychological conditions that could interfere with your ability to safely work with children?
Yes
No
Do you have any of the following medical conditions? Check all that apply.
Currently, are you following medically advised or prescribed work restrictions?
Yes
No
Currently, is your employer making modifications to your job duties to meet your medical needs?
Yes
No
To the best of your knowledge, did you receive all of your childhood immunizations?
Yes
No
Other
Do you agree to immediately contact your doctor for any new changes to your physical or mental health that could interfere with you safely working with children?
Yes
No
I agree to the release of liability listed on coloradocprpros.com website.
Yes
No
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