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