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5/8/2014 PHYSICAL EXAMINATION REPORT (Due before the first day of entrance to school) Students Name: Phone: (Last) (First) (Middle Initial) Address: (Street) (City) Date of Birth: Sex: (State) (Zip)

How to fill out physical examination report

How to fill out a physical examination report:

1. Begin by filling out the personal information section, which usually includes the patient's name, date of birth, gender, and contact details.
2. Provide a detailed medical history, including any past illnesses, surgeries, or medications taken. It is important to be thorough and accurate in providing this information.
3. Record vital signs such as blood pressure, heart rate, respiratory rate, and temperature. Use appropriate measuring devices and ensure accurate readings.
4. Conduct a thorough physical examination, including inspection, palpation, percussion, and auscultation of different body systems. Record your findings in the designated sections of the report.
5. Document any abnormalities or notable findings during the physical examination. This may include lumps, swelling, skin changes, or abnormal sounds in the lungs or heart, among others.
6. If any laboratory tests or diagnostic procedures were performed, write down the results and attach them to the report as necessary.
7. Include your professional interpretation of the examination findings. If further investigation or referrals are needed, indicate them clearly in the report.
8. Review the report for accuracy and completeness before submitting it to the appropriate healthcare provider or agency.

Who needs a physical examination report?

1. Individuals seeking employment in certain industries may be required to undergo a physical examination and provide a report as part of the pre-employment screening process. This is often the case for jobs involving physically demanding tasks or those with potential health and safety risks.
2. Athletes participating in sports at various levels, from school teams to professional leagues, may be required to undergo regular physical examinations and provide reports to ensure they are physically fit to participate.
3. Individuals applying for certain insurance policies, such as life or health insurance, may need to provide a physical examination report as part of the underwriting process.
4. Immigrants or individuals applying for certain visas may be required to undergo a medical examination and provide a report to ensure they meet the health requirements of the destination country.
5. Some academic institutions or programs, particularly those in the healthcare field, may require students to undergo a physical examination and provide a report to ensure they are medically fit for the demands of their chosen profession.

For pdfFiller’s FAQs

What is physical examination report?

Physical examination report is a document that details the results of a medical examination conducted on an individual, typically to assess their physical health and fitness.

Who is required to file physical examination report?

Certain professions or organizations may require individuals to file a physical examination report as part of their job application, licensing process, or for insurance purposes.

How to fill out physical examination report?

To fill out a physical examination report, an individual will need to provide personal information, medical history, undergo a physical examination conducted by a healthcare professional, and have the results documented in the report.

What is the purpose of physical examination report?

The purpose of a physical examination report is to assess an individual's overall health and fitness, identify any potential medical issues or concerns, and provide information for medical professionals to make informed decisions.

What information must be reported on physical examination report?

A physical examination report typically includes personal information, medical history, results of physical examination such as vital signs, height, weight, and any specific medical conditions or concerns.

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