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This document is a physical examination form required for applicants to the Athletic Training Education Program at Delta State University, assessing general health, flexibility, and orthopedic condition.

How to fill out physical examination form

How to fill out Physical Examination Form

1. Start with personal information: Fill in your name, date of birth, and contact details at the top of the form.
2. Provide medical history: Answer questions regarding past illnesses, surgeries, allergies, and current medications.
3. Complete the physical examination section: This usually includes height, weight, blood pressure, and any relevant physical assessments.
4. Answer lifestyle questions: Include information about your diet, exercise habits, and any substance use.
5. Sign and date the form: Confirm that all the information is accurate and complete before submitting.

Who needs Physical Examination Form?

1. Individuals seeking a job that requires a health clearance.
2. Students enrolling in schools or colleges that mandate a physical examination.
3. Athletes needing to compete in sports programs.
4. Patients visiting healthcare facilities for specific treatments or surgeries.

People Also Ask about

What does a full physical exam include?

These stages - or techniques - are inspection, palpation, percussion, and auscultation. Much like putting together a puzzle, all of the parts of the assessment come together to create the bigger picture and allow you to provide the best possible care to your patients.

What are the 4 principles of physical examination?

Physical examination is the process of evaluating objective anatomic findings through the use of observation, palpation, percussion, and auscultation. The information obtained must be thoughtfully integrated with the patient's history and pathophysiology.

How to fill out a physical examination form?

Begin by entering your personal details in the designated fields at the top of the form. Next, provide information regarding any current medications and allergies. Finally, complete the evaluation of your health by filling out the sections regarding physical examination findings and other relevant medical history.

What are the 4 components of a physical exam?

Inspection (looking at the body) Palpation (feeling the body with fingers or hands) Auscultation (listening to sounds, usually with a stethoscope) Percussion (producing sounds, usually by tapping on specific areas of the body)

For pdfFiller’s FAQs

What is Physical Examination Form?

The Physical Examination Form is a document used to collect and record an individual's health status, medical history, and results from physical examinations conducted by a qualified healthcare provider.

Who is required to file Physical Examination Form?

Individuals required to file a Physical Examination Form typically include athletes, students entering certain educational programs, or anyone applying for positions that require a medical evaluation, such as certain jobs in healthcare, law enforcement, or transportation.

How to fill out Physical Examination Form?

To fill out a Physical Examination Form, one should start by providing personal information, including name and date of birth. Next, the healthcare provider will conduct the examination and document findings related to height, weight, vision, hearing, and any pertinent medical history or physical conditions that may affect the individual.

What is the purpose of Physical Examination Form?

The purpose of the Physical Examination Form is to assess and document an individual's physical health, ensure they meet specific health standards for activities or jobs, and provide a record for medical professionals regarding any health issues or needed follow-ups.

What information must be reported on Physical Examination Form?

The information that must be reported on a Physical Examination Form usually includes personal identification details, medical history, results of the physical examination (such as blood pressure, heart rate, and any abnormalities), immunization status, and any medications or allergies.