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        35K - Referral for a preliminary preventive medical examination
        35G - Referral for a preliminary preventive medical examination
        35H - Referral for a focused Periodic or Other Focused Preventive Medical Examination
        35L - Referral for a focused Periodic or Other Focused Preventive Medical Examination - filled
        35I - Medical Certificate for Completed Preliminary Preventive Medical Examination
        35J - Medical Certificate for Focused Periodic Preventive Examination
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35H - Referral for a focused Periodic or Other Focused Preventive Medical Examination 

In the head of the form the data of the employer and personal data of the employee are filled, data about the risk grade is entered manually.

  

 

 


 

 

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