12 NCAC 09B .0104          MEDICAL EXAMINATION

(a)  Each applicant for certification or enrollment in a Commission approved basic law enforcement training course pursuant to Rule 12 NCAC 09B .0205, shall complete, sign, and date the Commission's Medical History Statement Form (F-1) and shall be examined by either a physician, physician assistant, or nurse practitioner who holds a current license in the United States to practice medicine, as issued by a state medical board, to help determine his or her fitness to carry out the physical requirements of the position of law enforcement officer.

(b)  Prior to being examined, the applicant shall provide the examining physician, physician or nurse practitioner with:

(1)           the Medical History Statement Form (F-1), which must be read, completed, and signed; and

(2)           the Instructions to Agency and Examiner for Completion of Medical Examination Report (F-2A) Form attached to the Medical Examination Report Form (F-2).

(c)  The examining physician, physician's assistant, nurse practitioner, shall record the results of the examination on the Medical Examination Report Form (F-2) and shall sign and date the form. The Medical Examination Report Form (F-2) shall contain the following information:

(1)           Name, date of birth, employing agency, height, weight, and last 4 digits of the Social Security Number for the person being examined;

(2)           Results of Vision Acuity;

(3)           Results of Hearing Acuity;

(4)           Results of Cardiovascular Examination;

(5)           Abnormal Findings;

(6)           Tuberculosis Risk Questionnaire;

(7)           Tuberculosis Symptom Questionnaire; and

(8)           Name, signature, and medical license number of examining medical professional.

(d)  The Medical Examination Report Form (F-2) and the Medical History Statement Form (F-1) shall be valid for one year after the date the examination was conducted and shall be completed prior to:

(1)           the applicant's beginning the Commission approved basic law enforcement training course; and

(2)           the employing agency submission of application for certification to the Commission.

History Note:        Authority G.S. 17C‑6; 17C‑10;

Eff. January 1, 1981;

Amended Eff. April 1, 2018; October 1, 2017; November 1, 1993; February 1, 1991; March 1, 1990; April 1, 1985;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. May 25, 2019;

Amended Eff. November 1, 2024; October 1, 2022.