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This document is a physical examination form used by the College of the Holy Cross Health Services to collect medical history, current health status, and examination findings for new applicants.

How to fill out physical examination form

How to fill out Physical Examination Form

1. Gather required personal information such as name, age, and contact details.
2. Provide medical history including past illnesses, surgeries, and medications.
3. Fill in family medical history, noting any hereditary conditions.
4. Complete sections related to current health status and symptoms.
5. Ensure to include details about any allergies or sensitivities.
6. Sign and date the form to verify the accuracy of the information provided.

Who needs Physical Examination Form?

1. Individuals seeking employment that requires a medical clearance.
2. Athletes needing a sports physical for participation in competitions.
3. Students enrolling in school programs that mandate health examinations.
4. Patients needing to undergo certain medical procedures 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?

A Physical Examination Form is a document used to record the results of a physical examination conducted by a healthcare professional.

Who is required to file Physical Examination Form?

Individuals such as students, athletes, or employees in certain jobs may be required to file a Physical Examination Form as part of medical clearance or regulatory compliance.

How to fill out Physical Examination Form?

To fill out a Physical Examination Form, individuals should provide accurate personal information, have a healthcare professional conduct the examination, and record findings and recommendations as specified by the form.

What is the purpose of Physical Examination Form?

The purpose of a Physical Examination Form is to assess an individual's health status, provide documentation of medical clearance, and ensure that they meet specific health standards for activities or employment.

What information must be reported on Physical Examination Form?

Information typically reported on a Physical Examination Form includes personal details, medical history, results of the physical examination, vital signs, and any significant health concerns identified by the healthcare provider.