Medical Fitness Declaration Form Template for Singapore

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Key Requirements PROMPT example:

Medical Fitness Declaration Form

"I need a Medical Fitness Declaration Form for my Singapore-based manufacturing company that includes comprehensive physical fitness declarations and vaccination status, to be used for all new employees starting from January 2025."

Document background

The Medical Fitness Declaration Form is a crucial document used in Singapore to assess and document an individual's health status and medical fitness. It is commonly required for employment, educational enrollment, sports participation, or specific activities where health conditions may impact safety or performance. The form complies with Singapore's healthcare and data protection regulations, including the PDPA and Healthcare Services Act. It typically includes current health status, medical history, and may require professional medical verification depending on its purpose.

Suggested Sections

1. Personal Information: Basic identification details of the declarant including name, ID/passport number, date of birth, and contact information

2. Medical History Declaration: Comprehensive section covering current and past medical conditions, surgeries, cHRonic illnesses, and hospitalizations

3. Current Health Status: Present physical and mental health condition, including any ongoing treatments or medications

4. Data Protection Notice: PDPA compliance statement explaining how medical information will be collected, used, and protected

5. Declaration Statement: Formal attestation of the truth and accuracy of provided information, with legal implications of false declarations

6. Signature Block: Fields for date, signature of declarant, and witness signature if required

Optional Sections

1. Specific Activity Fitness: Additional declarations specific to particular activities (sports, diving, high-risk activities) when the form is used for activity clearance

2. Vaccination History: Details of vaccinations and immunizations when required for specific purposes such as travel or employment

3. Family Medical History: Section for declaring relevant family medical conditions when genetic factors need to be considered

4. Drug Test Declaration: Specific section for declaring compliance with drug policies, typically used in employment or sports contexts

Suggested Schedules

1. Medical Examination Results: Appendix containing recent medical test results, laboratory reports, or health screening outcomes

2. Physician's Statement: Supporting documentation from medical professional including their assessment and fitness certification

3. List of Medications: Detailed schedule of current prescriptions, medications, and treatments being undertaken

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare
Sports and Recreation
Education
Manufacturing
Construction
Maritime

Relevant Teams

Human Resources
Health & Safety
Legal
Operations
Medical Services
Administration

Relevant Roles

Human Resources Manager
Occupational Health Officer
Safety Manager
School Administrator
Sports Coach
Medical Officer

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Let's create your Medical Fitness Declaration Form

Authors

Alex Denne

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