Below, you will find a preview of the required Medical Examiner Report Form MCSA-5875. This is the standard form used for general certifications. It is required that the patient complete Section 1. After completion, provide the forms and certificate to your employer.
If you are insulin dependent, there is a separate form that is required. This form can be found at the following link:
Dr. Clay Campbell and Lakeside North Family Medicine are pleased to welcome Dr. Haley Gates to our team of healthcare professionals. Dr. Gates is accepting new primary care patients! Call today to schedule an appointment.