MEDICAL FORMS. All medical forms must be completed and returned to Xxxxx Center (health services) in order for a student to receive a room key for a residential room and building.
MEDICAL FORMS. All costs of medical reports requested by the Company will be reimbursed to a maximum of fifty percent (50%) upon proof of receipt. The receipt must be provided to the Benefits Coordinator and will be reimbursed on a quarterly basis through the payroll.
MEDICAL FORMS. I agree to have my child examined by a physician and to submit a health certificate (supplied by ThinkingCAP) before entering the child in After School Program, meeting the requirements set forth by the New York City Department of Health. No child will be allowed to begin the After School Program without a health certificate. Failure to comply may result in the temporary suspension or removal of your child from the program. (initial)
MEDICAL FORMS. An employee participating in the EIP will have her/his attending physician complete an Occupational Fitness Assessment (OFA) form that provides general information regarding her/his current injury/illness. The OFA is part of the Early Notification Package, and includes the employee authorization section.
MEDICAL FORMS. Annual completion of a physical examination form is required for participation in athletics at Wakefield. The Sports Physical form is available on the school website at xxx.xxxxxxxxxxxxxxx.xxx/xxxxxxxxxxxx. The exam from the previous year will expire on June 1st of each summer. If you completed your physical form in May, it will only be valid until June 1st. The form must be filled out by a physician that is NOT a member of the athlete’s immediate family. This is a tedious requirement, but one that is necessary for us to insure the safest possible conditions for your child’s participation in athletics.
MEDICAL FORMS. Should the Employer require an employee to provide a medical form due to illness or injury, the cost of the form will be paid by the Employer to a maximum of one hundred and fifty dollars ($150) per form. Reimbursement of medical forms will be paid by the Employer, upon proof of payment by the employee.
MEDICAL FORMS. For the safety and wellness of all participants, I verify that all Medical History information provided by me on my online application is my complete medical information. It is my responsibility to take all prescription medications given to me by my doctor, which will be contained it its original dispensed form (in its original container with the pharmacy label.)
MEDICAL FORMS. If your child requires special medical authorization, please find the rules and forms on the nurses site on the Buckeye Valley website: xxx.xxxxxxxxxxxxx.x00.xx.xx
MEDICAL FORMS. Any cost incurred by the employee for the completion of medical forms which have been requested by the Company, will be reimbursed providing the employees provides such forms and the paid receipt. APPENDIX "D" PRAIRIE TEAMSTERS PENSION PLAN
MEDICAL FORMS. 2nd Chance Treatment Center requires full payment in advance for completion of FMLA forms. Completion of forms is not paid by your insurance company. My signature below acknowledges the information above is complete and accurate. I understand I am financially responsible for any incurred charges not covered or denied by my insurance.
