Common use of Physician Certification Clause in Contracts

Physician Certification. I hereby certified that the above individual is a patient of mine and that I have conducted a blood test on that tested for HDL level, Triglyceride level and glucose level. Additionally I am in consultation with the individual regarding the 5 above risk factors as they relate to individuals overall health. Physician Signature Date Print name: Name (Print): Employee # Employee Signature: Date: I hereby certified that the above individual is a patient of mine and that I have conducted a blood test on (date must coincide with date on original waiver) and