Wednesday, April 1 2020, 09:07 am
For OHR use only – Montgomery County, Maryland

For OHR use only – Montgomery County, Maryland

The medical evaluation cannot proceed unless all items below are answered fully. Note: This form is both a County personnel record and a record of the County’s retirement system. Any information presented on this medical history form may also be used to evaluate an individual’s future eligibility for disability or disability retirement …