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Impaired Risk


Select from the following options:

WebMD – Link to one of the leading providers of information about medical conditions and treatments

Does your applicant have a medical condition or participate in a hazardous hobby? Click on the topic below to complete an impairment questionnaire.

If your specific impairment is not listed, please use the General Purpose Questionnaire.

 

Medical Questionnaire Fillable Printable
Alcohol
Anxiety
Asthma
Blood Pressure
Cancer History
Cholesterol
Crohn’s Disease
Depression
Diabetes
General Purpose
Heart Condition
Hepatitis C
Melanoma
Pilot
Race Car Driving
Scuba Diving
Smoker
Valve Replacement