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<p style="TEXT-ALIGN: center"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(255,255,255); FONT-SIZE: 12pt"><strong><span style="FONT-SIZE: 14pt">건강검진 신청 서류 [접수자용]</span></strong></span></p>
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<p style="TEXT-ALIGN: center"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(255,255,255); FONT-SIZE: 12pt"><strong><span style="FONT-FAMILY: Arial,sans-serif; FONT-SIZE: 18pt">Los Angeles Fire Department</span></strong></span></p>
<p style="TEXT-ALIGN: center"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(255,255,255); FONT-SIZE: 12pt"><strong><span style="COLOR: rgb(255,255,255); FONT-SIZE: 14pt">Medical Division</span></strong></span></p>
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<p style="TEXT-ALIGN: center"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(255,255,255)"><strong><span style="FONT-FAMILY: Arial,sans-serif">건강검진 주의 사항</span></strong></span></p></td></tr>
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<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)">⊙ 건강검진은 365일 24시간 로스 엔젤레스 소방국의 건강검진 신청 섹션을 통하여 신청하실 수 있습니다.</span></span></font></p>
<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)">⊙ 건강검진 접수는 오직 로스 엔젤레스 소방국 포럼의 본 섹션에서만 접수가 가능합니다.</span></span></span></span></font></p>
<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)">⊙ 건강검진 신청시<strong> 말머리를 "접수신청"으로 기재</strong>하여야 하며, 미기재시 거절됩니다.</span></span></span></span></span></span></span></span></font></p>
<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)">⊙ 접수를 진행하지 아니할 경우 건강검진을 받을 수 없으며, 건강검진 진행, 거절 여부는 답변을 통하여 작성됩니다.</span></span></span></span></span></span></font></p>
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<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)">⊙ 건강검진 결과는 [<strong> 안전(1~10) // 심각(11~20) </strong>] 두 척도를 중심으로 통보됩니다.</span></span></span></span></span></span></font></p>
<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)">⊙ 건강검진 결과에 대한 통보글은 본 글의 <strong>댓글</strong> 형식으로 통보됩니다.</span></span></span></span></span></span></span></span></font></p>
<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)">⊙ ASGH에 내방하여 건강검진을 받을 경우, 의료진의 지시에 이행하여야 합니다.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></font></p>
<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)">└ : 만약 의료진의 지시에 이행하지 아니하거나, 폭언, 폭행을 할 경우 당신의 건강검진은 강제 취소될 수 있습니다.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></font></p>
<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"></span></span></span></span></span></span></span></span></span></font></p>
<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)">⊙ 건강검진 신청서의 () 안에 있는 양식에 따라 <strong>기입란에 누락 없이 모두 작성</strong>을 해야합니다.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></font></p>
<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)">⊙ 요청자 정보 기입란에서 단 하나라도 없는 내용이 있다면 보류 혹인 거절 처리가 됩니다.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></font></p>
<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)">⊙ 911 핫라인 신고를 이용하여 건강검진 예약, 문의 등을 할 경우 당신의 신청서는 취소될 수 있습니다.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></font></p>
<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><strong><span style="COLOR: rgb(255,0,0)">⊙ 문항의 모든 블랭크(</span><u><span style="COLOR: rgb(255,0,0)"> )</span></u><span style="COLOR: rgb(255,0,0)">를 삭제하고 답안을 기입하여 주시기 바랍니다.</span></strong></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></font></p>
<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><strong><span style="COLOR: rgb(255,0,0)">└ : 그렇지 아니한 경우 건강검진 신청은 거절</span><span style="COLOR: rgb(255,0,0)">처리 됩니다.</span></strong></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></font></p>
<p style="TEXT-ALIGN: left; LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><font color="#ffffff" face="Arial"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="COLOR: rgb(255,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="COLOR: rgb(255,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif"><span style="COLOR: rgb(0,0,0)"><strong><span style="COLOR: rgb(255,0,0)">⊙ 건강검진 승인 후 48시간 이내에 진행하지 아니할 경우 승인은 거절 처리됩니다.</span></strong></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><strong></strong></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></font></p></td></tr>
<tr>
<td style="BORDER-BOTTOM: rgb(204,204,204) 1px solid; TEXT-ALIGN: center; BORDER-LEFT: rgb(204,204,204) 1px solid; BACKGROUND-COLOR: rgb(103,0,0); WIDTH: 667px; HEIGHT: 27px; BORDER-RIGHT: rgb(204,204,204) 1px solid" colspan="4">
<p><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(255,255,255)"><strong>요청자 정보 기입란</strong></span></p></td></tr>
<tr>
<td style="BORDER-BOTTOM: rgb(204,204,204) 1px solid; TEXT-ALIGN: left; BORDER-LEFT: rgb(204,204,204) 1px solid; LINE-HEIGHT: 2; BACKGROUND-COLOR: rgb(255,255,255); WIDTH: 667px; HEIGHT: 81px; BORDER-RIGHT: rgb(204,204,204) 1px solid" rowspan="3" colspan="4">
<p style="LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><strong><br></strong></span></p>
<p style="LINE-HEIGHT: 2; MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><strong>⊙ 검진 요청 일시</strong> : 17.08.2016</span></p><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)">
<p style="MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><strong>⊙ 검진 요청자 성명</strong> : Daisy_Guzman</span></p><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)">
<p style="MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><strong>⊙ 검진 요청자 전화번호</strong> : 45037</span></p><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)">
<p style="MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><strong>⊙ 검진 요청자 계좌번호 </strong>: 183-481</span></p><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)">
<p style="MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><strong>⊙ 검진 요청자 성별</strong> : Male</span></p><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)">
<p style="MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><strong>⊙ 검진 요청자 연령</strong> : 30세</span></p>
<p style="MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><strong>⊙ 검진 요청자 신장</strong> : 183 cm</span></span></p>
<p style="MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><strong>⊙ 검진 요청자 체중</strong> : 77 kg</span></span></span></p>
<p style="MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><strong>⊙ 검진 요청자 혈액형</strong> : AB형</span></span></span></span></span></span></p>
<p style="MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><strong>⊙ 검진 요청 사유(30자 이상, 어떠한 사유로 인하여 건강검진을 요청하는지 상세히)</strong> </span></span></span></span></span></span></span></span></span></span></span></span></p>
<p style="MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><strong> : 요즘 목 뒤가 자꾸 뻐근하고, 가슴이 아프며, 교통 사고로 인한 수술을 받은뒤 어께가 자꾸 결리는 등 사회 생활을 정상적으로 수술할 수 없게 되어 검진 요청 합니다.</strong></span></span></span></span></span></span></span></span></span></span></span></span></p>
<p style="MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><strong>⊙ 기타 조사 : </strong></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p>
<p style="TEXT-ALIGN: center; MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><strong>" 다음 문항을 확인하시고, 문항에 알맞은 답변을 "성의껏" 작성해 주시기 바랍니다. "</strong></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><br></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p>
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<p style="TEXT-ALIGN: center"><span style="FONT-FAMILY: Arial,sans-serif">문항</span></p></td>
<td style="BORDER-BOTTOM: rgb(204,204,204) 1px solid; WIDTH: 216px; HEIGHT: 24px; BORDER-TOP: rgb(204,204,204) 1px solid; BORDER-RIGHT: rgb(204,204,204) 1px solid">
<p style="TEXT-ALIGN: center"><span style="FONT-FAMILY: Arial,sans-serif">답변란</span></p></td></tr>
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<p><span style="FONT-FAMILY: Arial,sans-serif">흡연을 하십니까? </span></p>
<p><span style="FONT-FAMILY: Arial,sans-serif">만약 흡연을 하신다면 하루에 몇개피를 피십니까?</span><br></p></td>
<td style="BORDER-BOTTOM: rgb(204,204,204) 1px solid; WIDTH: 216px; HEIGHT: 24px; BORDER-TOP: rgb(204,204,204) 1px solid; BORDER-RIGHT: rgb(204,204,204) 1px solid">
<p style="TEXT-ALIGN: center">X</p></td></tr>
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<p><span style="FONT-FAMILY: Arial,sans-serif">음주를 하십니까?</span></p>
<p><span style="FONT-FAMILY: Arial,sans-serif">만약 음주를 하신다면, 일주일에 몇회정도 하십니까?</span><br></p></td>
<td style="BORDER-BOTTOM: rgb(204,204,204) 1px solid; WIDTH: 216px; HEIGHT: 24px; BORDER-RIGHT: rgb(204,204,204) 1px solid">
<p style="TEXT-ALIGN: center">2~3회</p></td></tr>
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<p><span style="FONT-FAMILY: Arial,sans-serif">최근 30</span><span style="FONT-FAMILY: Arial,sans-serif">일 이내 건강검진을 받으신 기록이 있으십니까?</span></p></td>
<td style="BORDER-BOTTOM: rgb(204,204,204) 1px solid; WIDTH: 216px; HEIGHT: 24px; BORDER-RIGHT: rgb(204,204,204) 1px solid">
<p style="TEXT-ALIGN: center">없습니다.</p></td></tr>
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<p><span style="FONT-FAMILY: Arial,sans-serif">최근 7일 이내 건강상의 사유로 LAFD에서 진료, 수술을 하신 적이</span><span style="FONT-FAMILY: Arial,sans-serif"> 있으십니까?</span></p></td>
<td style="BORDER-BOTTOM: rgb(204,204,204) 1px solid; WIDTH: 216px; HEIGHT: 24px; BORDER-RIGHT: rgb(204,204,204) 1px solid">
<p style="TEXT-ALIGN: center">있습니다. (교통사고 관련)</p></td></tr>
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<p><span style="FONT-FAMILY: Arial,sans-serif">국가에서 지정한 금지약물(마리화나, 코카인 등)을 복용하신적이 있으십니까?</span></p>
<p><span style="FONT-FAMILY: Arial,sans-serif">만약 있으시다면, 현재의 기준으로 얼마나 경과하였는지 말씀해주십시오.</span></p></td>
<td style="BORDER-BOTTOM: rgb(204,204,204) 1px solid; WIDTH: 216px; HEIGHT: 24px; BORDER-RIGHT: rgb(204,204,204) 1px solid">
<p style="TEXT-ALIGN: center">없습니다.</p></td></tr></tbody></table>
<p style="MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><br></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p>
<p style="MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><br></span></span></span></span></span></span></p>
<p style="TEXT-ALIGN: center; MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)">나는 로스 엔젤레스 소방국에서 실시하는 건강검진의 주의사항에 대하여 모두 확인을 하였고, 본 신청서에 거짓(대리신청 포함)이나 의료진의 지시를 이행하지 아니하거나 의료진에게 폭행, 폭언을 한 경우 건강검진 </span></span></span></span></span></span><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)">취소처리에 대해 이의를 제기하지 않겠으며 </span></span></span></span></span></span><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)">블랙리스트 등록(적색경보)에도 동의합니다.</span></span></span></span></span></span></p>
<p style="TEXT-ALIGN: center; MARGIN-LEFT: 2em"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><span style="FONT-FAMILY: Arial,sans-serif; COLOR: rgb(0,0,0)"><br></span></span></span></span></span></span></p>
<p style="TEXT-ALIGN: center; MARGIN-LEFT: 2em"></p></span></span>
<p style="TEXT-ALIGN: right"> <u> Daisy_Guzman </u> <strong>(인) </strong><br></p></span></span></span></span></td></tr>
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카페 게시글
검색이 허용된 게시물입니다.
다음검색
첫댓글 귀하의 건강건진이 성공적으로 접수되었습니다.
귀하의 건강검진 가능일은 08월 20일 오전 0시까지이며, 본 기간에 어떠한 사유로도 건강검진을 받지 못한 경우엔 신청서를 재작성하여 주셔야 합니다.
오늘도 귀하의 가정에 평안과 안녕히 함께하길 기원합니다.
우리 소방국에서는 귀하의 건강검진 신청서를 검토하였으며 건강검진 신청자에게 다음과 같이 건강검진 접수를 통보합니다.
귀하의 건강검진 접수는 거절되었으며 사유는 "기한만료" 입니다.
귀하의 건강검진 신청은 8월 20일 오전 0시 이후 가능합니다. 감사합니다.