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It declares that a completed functional job description was read and that a physical exam was performed to determine the student has no health-related restrictions against performing assigned duties. The form includes an EMT/A-EMT/EMT-P position description covering required review items at program entry, qualification standards, competency areas across EMT, Advanced EMT, and EMT-P, and a detailed task list for emergency response roles.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/physical-examination-form-health-assessment-declaration-functional-position-description-ecaemtemt-iemt-p/365930/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/physical-examination-form-health-assessment-declaration-functional-position-description-ecaemtemt-iemt-p/365930.png","ImageObject",300,407,{"name":92,"@type":93},"Aria Callaghan","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What information must be completed in the physical examination section?","Question",{"text":113,"@type":114},"The form requires student name and date, the clinician’s selection of credential type (MD/DO/PA/FNP), signature, printed name, office address, and phone number, along with an attestation statement.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What does the attestation statement confirm?",{"text":118,"@type":114},"It confirms the clinician read the attached functional job description and performed a physical examination, concluding the student has no health-related issues that would prevent performing the described duties.",{"name":120,"@type":111,"acceptedAnswer":121},"What qualifications and competency requirements are listed for EMT roles?",{"text":122,"@type":114},"The document requires completing an approved course, verification of skill proficiency and a passing written certification exam score, being at least 18 years old, and meeting detailed competency areas for EMT, Advanced EMT, and EMT-P, including specific emergency-handling and life support objectives.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},365930,1790709145,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},962084926284,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Physical Examination Form  \nStudent Name:  \nDate  \nI have read the attached Functional Job Description ( as distributed by the Texas Department of State Health Services and affirmed by the Texas Attorney General ) and performed a physical examination of the student. In my opinion the student has no health related issues that would preclude him/her from performing the duties described in the functional job Description .  \nSignature  \n MD  DO  PA  FNP  \nPrinted Name  \nOffice Address  \nPhone Number  \nFUNCTIONAL POSITION DESCRIPTION  \nECA/EMT/EMT-I/EMT-P  \nThe Bureau requires that a course coordinator review the following with each student upon program entry:  \na. functional job description  \nb. certification application procedures  \nc. disability policy  \nINTRODUCTION:  \nWe are providing the following position description for EMT/A-EMT/EMT-P provided by State of Texas Department of State Health Services Office of Emergency Medical Services. This should be a reference and a guide for you to better understanding what qualifications, competencies and tasks are required of the EMT/EMT-I/EMT-P.  \nQUALIFICATIONS:  \nSuccessfully complete a department approved course. Verification of skills proficiency and achievement of a passing score on the written certification examination. Must be at least 18 years of age. Generally, the knowledge and skills required show the need for a high school education or equivalent. Ability to communicate verbally; via telephone and radio equipment; ability to lift, carry, and balance up to 125 pounds (250 with assistance); ability to interpret written, oral and diagnostic form instructions; ability to use good judgment and remain calm in high-stress situations; ability to be unaffected by loud noises and flashing lights; ability to function efficiently throughout an entire work shift without interruption; ability to calculate weight and volume ratios and read small print, both under life threatening time constraints; ability to read English language manuals and road maps; accurately discern street signs and address numbers; ability to interview patient, family members, and bystanders; ability to document, in writing, all relevant information in prescribed format in light of legal ramifications of such; ability to converse in English with coworkers and hospital staff as to status of patient. Good manual dexterity, with ability to perform all tasks related to highest quality patient care. Ability to bend, stoop, and crawl on uneven terrain; and the ability to withstand varied environmental conditions such as extreme heat, cold, and moisture. Ability to work in low light and confined spaces.  \nCOMPETENCY AREAS:  \nEMT Emergency Medical Technician Must demonstrate competency handling emergencies utilizing all Basic Life Support equipment and skills in accordance with all behavioral objectives in the DOT/EMT Basic curriculum and the FEMA document entitled “Recognizing and Identifying Hazardous Materials”. EMT 1994 curriculum includes objectives pertaining to the use of the pneumatic anti shock garment, automated external defibrillator, epinephrine auto-injector and inhaler bronchodilators.  \nAdvanced EMT  \nMust demonstrate competency handling emergencies utilizing all Basic and Advanced Life Support equipment and skills in accordance with all behavioral objectives in the DOT/EMT Basic and EMT-I curriculum. The curriculum will include objectives pertaining to endotracheal intubation.  \nEMT-P Paramedic  \nMust demonstrate competency handling emergencies utilizing all Basic and Advanced Life Support equipment and skills in accordance with all behavioral objectives in the DOT/EMT Basic, EMT-I curriculum, and the EMT-P curriculum. The EMT-P has reached the highest level of pre-hospital certification.  \nDescription of Tasks  \nReceives call from dispatcher, responds verbally to emergency calls, reads maps, may drive ambulance to emergency site, uses most expeditious route, and observes traffic ordinances and regulations. ","cbCaiaH7jNViZEKY","https://ap.wps.com/l/cbCaiaH7jNViZEKY","pdf",140421,"English","# Student Physical Examination Section\n## Health Examination Statement and Attestation\n# Functional Position Description\n## Review Requirements at Program Entry\n## Introduction and Reference Purpose\n## Qualifications\n## Competency Areas (EMT / Advanced EMT / EMT-P)\n## Description of Tasks","[{\"question\":\"What information must be completed in the physical examination section?\",\"answer\":\"The form requires student name and date, the clinician’s selection of credential type (MD/DO/PA/FNP), signature, printed name, office address, and phone number, along with an attestation statement.\"},{\"question\":\"What does the attestation statement confirm?\",\"answer\":\"It confirms the clinician read the attached functional job description and performed a physical examination, concluding the student has no health-related issues that would prevent performing the described duties.\"},{\"question\":\"What qualifications and competency requirements are listed for EMT roles?\",\"answer\":\"The document requires completing an approved course, verification of skill proficiency and a passing written certification exam score, being at least 18 years old, and meeting detailed competency areas for EMT, Advanced EMT, and EMT-P, including specific emergency-handling and life support objectives.\"}]","Physical Examination Form - Health Assessment Declaration - Functional Position Description - ECA/EMT/EMT-I/EMT-P | PDF",1790162978,15]