A Texas Physician's Certificate of Medical Examination (Word) is a form used to certify the health of an individual. This document, also known as Form DSS 3040, is issued by a medical professional to indicate that the person has been examined and found to be in satisfactory health. It is typically requested by employers, schools, government agencies, and other organizations as part of the application process. The form includes the patient’s medical history, physical examination, and laboratory findings. It also includes the physician’s signature, office address, and phone number. The two types of Texas Physician's Certificates of Medical Examination (Word) are the Adult form (Form DSS 3040A) and the Child form (Form DSS 3040C). Both forms contain similar information, but the Adult form includes additional questions related to the patient’s medical history, physical examination, and laboratory findings. Both forms are available in English and Spanish.