Application Process for Medical Certification

Applicant History - Item 18. Medical History
u. Admission to hospital

For each admission, the applicant should list the dates, diagnoses, duration, treatment, name of the attending physician, and complete address of the hospital or clinic. If previously reported, the applicant may enter PREVIOUSLY REPORTED, NO CHANGE. A history of hospitalization does not disqualify an applicant, although the medical condition that resulted in hospitalization may.