This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 3104?
A: Form 3104 is the General Physical Examination Report used in Texas.
Q: What is the purpose of Form 3104?
A: The purpose of Form 3104 is to document the results of a general physical examination.
Q: Who uses Form 3104?
A: Form 3104 is used by medical professionals in Texas to report the results of a general physical examination.
Q: What information is included in Form 3104?
A: Form 3104 includes information about the patient's medical history, physical examination findings, and recommendations.
Q: Is Form 3104 required in Texas?
A: Yes, Form 3104 is required for certain purposes such as school enrollment, sports participation, and employment in certain industries in Texas.
Q: Can I fill out Form 3104 myself?
A: No, Form 3104 must be filled out by a licensed medical professional who has performed the general physical examination.
Q: How long is Form 3104 valid?
A: The validity of Form 3104 depends on the specific requirements of its use, so it's best to check with the requesting organization or agency.
Q: Can Form 3104 be used for immigration purposes?
A: No, Form 3104 is not specifically designed for immigration purposes. Different forms are required for immigration-related medical examinations.
Q: Are there any fees associated with Form 3104?
A: The fees associated with Form 3104 may vary depending on the medical professional or facility providing the examination. It's advisable to check with the provider for any applicable fees.
Form Details:
Download a fillable version of Form 3104 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.