Indiana Task Force One – Document Upload

Please use the following form to upload medical records in accordance with our medical clearance requirements. See checklist below.

INTF1 Document Upload

First Name *

Last Name *

Date Of Birth *

Department *

Email *

Phone Number *

In order to expedite your INTF1 medical clearance please upload all of the following documentation:

Required Tests

Required Labs

Maximum file size: 134.22MB

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