Get the free Physical Examination Form

This document is used for the physical examination of athletes at the College of the Holy Cross. It collects personal information, medical history, and examination findings to determine athletic clearance.

How to fill out physical examination form

How to fill out Physical Examination Form

1. Begin by entering the patient's personal information, including name, age, and contact details.
2. Provide the patient's insurance information if applicable.
3. Fill in the medical history section, noting any past illnesses, surgeries, or chronic conditions.
4. Record any current medications the patient is taking, including dosage and frequency.
5. Complete the physical examination section, including height, weight, blood pressure, and heart rate.
6. Document any allergies the patient has, along with their reactions.
7. Ensure all questions are answered thoroughly, checking for completeness.
8. Have the patient or guardian sign and date the form to confirm that the information is accurate.

Who needs Physical Examination Form?

1. Individuals applying for a new job that requires a health assessment.
2. Students entering schools or sports programs that need medical clearance.
3. Patients undergoing insurance assessments.
4. Individuals participating in certain recreational or athletic activities.

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 exam conducted by a qualified healthcare professional, detailing the health status of an individual.

Who is required to file Physical Examination Form?

Individuals participating in certain activities, such as sports, school enrollment, employment, or medical procedures, may be required to file a Physical Examination Form.

How to fill out Physical Examination Form?

To fill out a Physical Examination Form, follow the instructions provided, entering personal information, medical history, and the results of the physical exam as assessed by the healthcare provider.

What is the purpose of Physical Examination Form?

The purpose of a Physical Examination Form is to document an individual's health assessment, ensuring they meet required health standards and to identify any potential health issues.

What information must be reported on Physical Examination Form?

Information that must be reported on a Physical Examination Form includes the individual's personal details, medical history, findings from the physical examination, and any recommendations or restrictions from the healthcare provider.