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OCS AA PHYSICAL EXAMINATION FORM ATHLETIC PARTICIPATION PHYSICAL EXAMINATION FORM Part A: HEALTH HISTORY QUESTIONNAIRE (To be completed by the parent and student) Today's Date: Date of Last Physical:
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How to Fill Out Physical Form - Wesleyan:

01
Start by obtaining the physical form from the Wesleyan University website or the appropriate department.
02
Provide personal information, such as your full name, date of birth, and contact details, as required on the form.
03
Mention any existing medical conditions or allergies accurately and truthfully. This information is important for the healthcare provider to ensure your safety during any physical activities or treatments.
04
Specify any medications you are currently taking or have taken recently. Include the name, dosage, and frequency of use.
05
Fill in the immunization section, listing all the required vaccines you have received. Provide the dates when these vaccines were administered.
06
Provide details about your health insurance coverage. Include the insurance company's name, policy number, and contact information.
07
If applicable, answer any questions regarding your emergency contact. Provide their name, relationship to you, and contact information.
08
Review the completed form to ensure all the information is accurate and up-to-date.
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Sign and date the form in the designated area to certify the accuracy of the provided information.
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Submit the completed physical form to the relevant department at Wesleyan University.

Who Needs Physical Form - Wesleyan?

01
All incoming students at Wesleyan University are required to submit a physical form before starting their academic program.
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Student-athletes participating in varsity sports must also complete and submit a physical form to ensure they are in good health to engage in physical activities.
03
Any student seeking access to certain campus facilities (e.g., fitness centers, recreational areas) may be asked to provide a physical form to ensure their safety and well-being.
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Physical form - wesleyan is a form that must be completed by students at Wesleyan University in order to provide information about their physical health and medical history.
All new and returning students at Wesleyan University are required to file the physical form.
Students can fill out the physical form online through the university portal or by downloading and submitting a physical copy to the health services office.
The purpose of the physical form is to ensure that students are healthy and fit to participate in academic and extracurricular activities at Wesleyan University.
The physical form - wesleyan typically asks for information such as medical history, allergies, current medications, and immunization records.
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