ABF Medical Request Form "*" indicates required fields Type of request*BFO Basic MedicalBFO Basic Medical - Over 55 YearsContainer Examination Facility MedicalContainer Examination Facility Medical – Over 55 yearsContainer Examination Facility (CEF) Medical with fitness to wear respiratorEnforcement Marine – Without AMSAEnforcement Marine – Over 55 – Without AMSAFitness to wear a respiratorFunctional Fitness Assessment - FFABasic Fitness Assessment (BFA) - Step TestBasic Fitness Assessment (BFA) - Beep TestUse of Force MedicalUse of Force Medical- Over 55 YearsUse of Force Instructor Medical (with lead testing)Use of Force Instructor Medical Assessment – Over 55 years (with lead testing)Use of Force Lead & Audio only (instructors Only)Candidate name:* First Last Candidate email* Candidate date of birth* DD slash MM slash YYYY AGS Number* Candidate phone number*Preferred location for medical*Queanbeyan, NSWDeakin, ACTBrisbane, QLDCairns, QLDGold Coast, QLDTownsville, QLDSydney - Waterloo, NSWSydney - Wetherill Park, NSWSydney - Parramatta, NSWNewcastle, NSWWollongong, NSWDarwin, NTAdelaide, SAHobart, TASMelbourne, VICBunbury, WAEsperance, WAPerth, WAKarratha, WABroome, WAPort Hedland, WAAvailable from: DD slash MM slash YYYY Please indicate your availability for a medical assessment appointment.Available to: DD slash MM slash YYYY If availability is limited within the above date range, please further indicate availability below. If left blank, ACH will assume you are available any time within the date range provided above.If availability is limited within the above date range, please further indicate availability below. If left blank, ACH will assume you are available any time within the date range provided above. Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Additional comments
