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Wheeling Jesuit University Doctor of Physical Therapy Program ANNUAL PHYSICAL FORM YOUR PHYSICIAN OR NURSE PRACTITIONER MUST COMPLETE, SIGN, AND DATE THIS FORM. PLEASE PRINT STUDENT NAME: DATE OF

How to fill out annual physical formpt4282015

How to fill out annual physical formpt4282015:

1. Start by carefully reading the instructions provided with the form. Make sure you understand what information needs to be filled out and any specific guidelines or requirements.
2. Begin by filling out the personal information section, which typically includes your name, date of birth, address, and contact details. Double-check for any spelling mistakes or inaccuracies.
3. Move on to the medical history section and provide accurate information about any previous and current medical conditions, surgeries, medications, allergies, and family history of diseases.
4. Next, complete the section related to lifestyle and habits. This may include questions about exercise routines, smoking or alcohol consumption, and dietary preferences.
5. If there are any specific sections related to your occupation or education, provide the required information accurately.
6. Some forms may have sections dedicated to mental health or emotional well-being. Answer these questions honestly and thoroughly.
7. If there is a section for current medications, list all the medications you are currently taking, including over-the-counter drugs, herbal supplements, and vitamins.
8. Ensure you understand any consent forms or waivers that may be included in the form and sign them accordingly.
9. Review your completed form for any missing information or errors before submitting it. It may be helpful to ask someone else to review it as well to catch any mistakes you may have missed.
10. Finally, submit the form as instructed by your healthcare provider or the organization requiring it.

Who needs annual physical formpt4282015:

1. Individuals visiting a healthcare provider for an annual physical examination may be required to fill out this form. This includes patients of all ages, from children to adults.
2. Employers may request employees to complete this form as part of their occupational health and safety requirements or for insurance purposes.
3. Some educational institutions or sports organizations may ask students or athletes to fill out this form to ensure they are fit to participate in physical activities.
4. Insurance companies may require this form to assess an individual's health condition and determine coverage options.
5. Government agencies or immigration departments may request this form for various purposes, such as visa applications or medical clearances.

Please note that the specific requirements for filling out the annual physical formpt4282015 may vary depending on the organization or healthcare provider. It is important to carefully read and follow the instructions provided with the form.

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