Get the free Physical Examination Form

This form is used to certify a player's physical ability to compete in organized school athletics and collects relevant medical history from the parent.

How to fill out physical examination form

How to fill out Physical Examination Form

1. Start by entering personal information: Full name, date of birth, and contact details.
2. Fill out the medical history section: Include any existing medical conditions, surgeries, and allergies.
3. Provide information about current medications: List all medications you are currently taking.
4. Complete the physical exam section: Indicate any symptoms or health issues you are experiencing.
5. Fill out family medical history: Note any relevant health issues in your immediate family.
6. Answer lifestyle questions: Include information about exercise, diet, and substance use.
7. Review the form for completeness: Ensure all sections are filled out and accurate.
8. Sign and date the form at the bottom before submission.

Who needs Physical Examination Form?

1. Individuals applying for jobs that require a physical examination.
2. Students participating in school sports or activities.
3. People seeking insurance coverage or certain health benefits.
4. Patients undergoing pre-surgical assessments.
5. Athletes needing a clear to participate in competitions.

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 record the findings from a physical examination conducted by a qualified healthcare professional. It typically includes details about the patient's medical history, physical health status, and any additional tests performed.

Who is required to file Physical Examination Form?

Individuals who are undergoing a physical examination for employment, school enrollment, sports participation, or specific medical assessments may be required to file a Physical Examination Form, as determined by the respective organization or institution.

How to fill out Physical Examination Form?

To fill out the Physical Examination Form, individuals should complete personal and medical history sections, undergo the physical examination conducted by a healthcare provider, and ensure that all sections are accurately filled in and signed as required.

What is the purpose of Physical Examination Form?

The purpose of the Physical Examination Form is to gather and document essential health information about an individual, assess their physical condition, and determine any medical issues that may affect their ability to participate in certain activities or jobs.

What information must be reported on Physical Examination Form?

The Physical Examination Form typically requires reporting of personal information (such as name, age, and contact details), medical history (chronic conditions, allergies, previous surgeries), results of the physical examination (vital signs, organ function), and any necessary laboratory test results.