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KANSAS STATE HIGH SCHOOL ACTIVITIES ASSOCIATION PO Box 495, 601 SW Commerce Place; Topeka, KS 666010495; (785) 2735329 HISTORY PPE PARTICIPATION PHYSICAL EVALUATION Name Sex Age Date of birth TO BE
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Start by obtaining the physical examination - circle form from your healthcare provider or the appropriate institution.
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Carefully read the instructions provided on the form to understand the requirements and guidelines for filling it out.
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Begin by entering your personal information, including your full name, date of birth, contact details, and any other required identification information.
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Follow the form's instructions to indicate the purpose of the physical examination, such as for employment, school admission, or sports participation.
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If applicable, provide information about your medical history, including any past illnesses, surgeries, or ongoing medical conditions.
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In the designated section, list your current medications, including prescription drugs, over-the-counter medications, and any supplements or herbal remedies you are taking.
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Next, you may need to provide information about your immunization history, including the dates and types of vaccines administered.
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Answer any additional questions on the form regarding your lifestyle, habits, or potential exposure to hazards, as instructed.
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In the last section of the form, indicate whether you have any known allergies or sensitivities to medications, substances, or environmental factors.
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Review the completed form to ensure accuracy and legibility, making any necessary corrections or additions if required.
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If specified, sign and date the form to indicate your consent and agreement with the information provided.
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Return the filled out physical examination - circle form to the appropriate party as instructed, such as your healthcare provider, school administration, or employer.

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Physical examination - circle is a form used to assess the health status of individuals by recording vital signs, medical history, and physical assessment.
Physical examination - circle is typically required for employees in certain industries, students participating in sports or other extracurricular activities, and individuals applying for certain licenses or certifications.
Physical examination - circle is typically filled out by a healthcare provider, such as a doctor or nurse, by recording the individual's medical history, conducting a physical assessment, and documenting vital signs.
The purpose of physical examination - circle is to assess the individual's overall health, detect any potential medical issues, and ensure they are fit for specific activities or occupations.
Information reported on physical examination - circle typically includes vital signs, medical history, physical assessment findings, and any recommendations for further evaluation or follow-up.
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