Get the free PHYSICAL EXAMINATION FORM page 2 - msmaryedu

PHYSICAL EXAMINATION FORM (To be completed, signed and dated by your Health Care Provider) 2 Student Name: D.O.B. Ht: Wt: BP: P: R: Visual Acuity: OD20/ OS 20/ Last eye exam: / / Contacts Glasses

How to fill out physical examination form page

How to fill out a physical examination form page:

1. Start by filling in your personal information such as your name, date of birth, and contact information.
2. Provide your medical history, including any past illnesses, surgeries, or allergies. Be sure to mention any current medications or treatments.
3. Next, detail your family medical history, noting any hereditary conditions or diseases that run in your family.
4. In the section for vital signs, document your blood pressure, heart rate, respiratory rate, and temperature. It may be helpful to have these measurements taken by a healthcare professional beforehand.
5. Proceed with the general physical examination. Note any abnormalities or concerns in different systems such as cardiovascular, respiratory, gastrointestinal, and musculoskeletal.
6. If there are any specific tests or screenings required, document the results accordingly. This could include blood tests, X-rays, or other diagnostic procedures.
7. Finally, make sure to sign and date the form to certify that all the information provided is accurate and complete.

Who needs a physical examination form page:

1. Individuals applying for a new job or starting a new position may be required to undergo a physical examination. This is often necessary to ensure that the individual is fit to perform the job duties safely without endangering themselves or others.
2. Athletes participating in organized sports or competitions often need to submit a physical examination form to confirm their physical fitness and to detect any underlying health issues that could impact their performance or safety.
3. Students enrolling in certain educational programs or schools, especially those involving physical activities like sports or dance, may be required to complete a physical examination form to ensure their wellbeing during participation.

Note: These are common scenarios where a physical examination form page may be required, but the actual need can vary depending on specific circumstances or regulations.

For pdfFiller’s FAQs

How can I get physical examination form page?

With pdfFiller, an all-in-one online tool for professional document management, it's easy to fill out documents. Over 25 million fillable forms are available on our website, and you can find the physical examination form page in a matter of seconds. Open it right away and start making it your own with help from advanced editing tools.

Can I create an electronic signature for the physical examination form page in Chrome?

You certainly can. You get not just a feature-rich PDF editor and fillable form builder with pdfFiller, but also a robust e-signature solution that you can add right to your Chrome browser. You may use our addon to produce a legally enforceable eSignature by typing, sketching, or photographing your signature with your webcam. Choose your preferred method and eSign your physical examination form page in minutes.

How do I fill out physical examination form page on an Android device?

Use the pdfFiller mobile app and complete your physical examination form page and other documents on your Android device. The app provides you with all essential document management features, such as editing content, eSigning, annotating, sharing files, etc. You will have access to your documents at any time, as long as there is an internet connection.

What is physical examination form page?

The physical examination form page is a document used to report the results of a medical examination.

Who is required to file physical examination form page?

Certain individuals, such as athletes or employees in certain industries, may be required to file a physical examination form page.

How to fill out physical examination form page?

The physical examination form page should be filled out by a licensed healthcare professional after conducting a thorough medical examination.

What is the purpose of physical examination form page?

The purpose of the physical examination form page is to assess an individual's health status and fitness for a specific activity or job.

What information must be reported on physical examination form page?

The physical examination form page typically includes information such as vital signs, medical history, and results of specific tests.