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3A Medical Group

3A Medical Group

Home of Dr.NYC™

120 E 36th Street # 1E
New York, NY 10016

Arjun Medical Group, P.C. d/b/a 3A Medical Group

(212) 888-2222
(212) 532-9999
md@dr.nyc

Available for Appointments 24/7/365

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Physical Examination Report / Annual Physical Examination Form

Complete the physical examination report and annual physical examination sections, including lab results, TB screening, immunizations, and physician certification. Provide labs with the physical examination report.

This form is not for emergencies. If this is a medical emergency, call 911. This form is not monitored 24/7. Please provide the supporting lab results along with this report.

  1. Patient Information
  2. Physical Examination Report
  3. Required for Pre-Employment
  4. Tuberculosis Screening Questionnaire
  5. Baseline Individual TB Risk Assessment
  6. Influenza Vaccine
  7. Health Status
  8. I. Health Screen (Medical/Psychological History)
  9. II. Mandatory Vaccines/Immunization and Lab Tests
  10. III. Review of Systems
  11. IV. TB Screen (Tuberculosis Questionnaire)
  12. V. Doctor Certification

Patient Information — step 1 of 12

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Dr.NYC