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PHYSICAL EXAMINATION FORM SCHOOL OF PHARMACY Name: This form must be submitted, in addition to the Union University Health Form and evidence of specific immunization / screening, by all students applying
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How to fill out physical examination form
How to fill out physical examination form?
01
Start by reading the instructions provided on the physical examination form carefully.
02
Fill in your personal information accurately, including your full name, date of birth, and contact details.
03
Provide your medical history, including any past surgeries, chronic illnesses, or medications you are currently taking.
04
Answer questions related to your lifestyle habits such as smoking, alcohol consumption, and exercise routine.
05
Document any allergies or specific dietary restrictions you may have.
06
Indicate any family history of medical conditions that are relevant.
07
Mention any current symptoms or concerns you have regarding your health.
08
Include any additional information or comments that may be required or useful for the healthcare professional conducting the examination.
09
Sign and date the form to confirm that the information provided is accurate to the best of your knowledge.
Who needs physical examination form?
01
Individuals applying for a new job or specific occupations may be required to fill out a physical examination form as part of their pre-employment requirements.
02
Athletes participating in sports activities or competitions often need to undergo physical examinations to ensure they are fit to participate and to identify any potential health risks.
03
Students enrolling in certain educational programs, such as those related to healthcare professions, may be asked to provide a physical examination form to ensure they are physically capable of meeting the demands of the program.
04
Individuals seeking insurance coverage or applying for certain policies may need to complete a physical examination form as part of the underwriting process.
05
Some organizations or programs, such as military services or adoption agencies, may require physical examination forms to assess the overall health and fitness of individuals.
Note: The specific requirements for a physical examination form may vary depending on the purpose and regulations of the organization or institution requesting it.
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What is physical examination form?
A physical examination form is a document used to record the results of a medical examination, documenting an individual's health status, and identifying any potential health issues or conditions.
Who is required to file physical examination form?
The requirement to file a physical examination form may vary based on the specific context or jurisdiction. However, it is commonly required for individuals applying for certain jobs, participating in sports activities, enrolling in educational institutions, or seeking medical clearance for specific purposes.
How to fill out physical examination form?
To fill out a physical examination form, you typically need to provide personal information such as your name, date of birth, and contact details. Additionally, you will be required to answer questions related to your medical history, current medications, allergies, and undergo a physical examination conducted by a healthcare professional.
What is the purpose of physical examination form?
The purpose of a physical examination form is to assess an individual's health status, identify any potential health risks or conditions, determine suitability for specific activities or purposes, and maintain a record of their medical history for future reference or evaluation.
What information must be reported on physical examination form?
The specific information reported on a physical examination form may vary, but it commonly includes personal demographics, medical history, current medications, allergies, immunization records, vital signs, results of the physical examination, and any additional tests or consultations conducted.
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