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(SAMPLE) FITNESS-FOR-DUTY EVALUATION - …

(SAMPLE) FITNESS-FOR-DUTY EVALUATION Name: John Smith Position: Sergeant assessment Procedures: Clinical interview; Date of assessment : 1/01/2013 Minnesota Multiphasic Personality Inventory-2-RF Date of Report: 1/02/2013 (MMPI-2-RF); Profile XT; review of records Evaluator: Kurt W. Jensen, Referring Agency: Mayberry Police Department Introduction: Confidentiality Given the nature of appraisal information and the potential dangers of its misuse, this report should be kept confidential and its contents restricted to those who have direct responsibility for decision making.

(SAMPLE) FITNESS-FOR-DUTY EVALUATION Name: John Smith Position: Sergeant Assessment Procedures: Clinical interview; Date of Assessment: 1/01/2013 ...

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