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ATHLETIC COMPETITION HEALTH SCREENING FORM NAME: FAMILY PHYSICIAN: SCHOOL: SPORTS: AGE: GRADE: DATE OF BIRTH: / / SEX: F HEALTH HISTORY PARENT OR GUARDIAN Answer yes or no ONLY YES M NO VITALS PHYSICAL
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Physician signature - van is a form that must be completed and signed by a physician.
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Physicians are required to file physician signature - van.
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Physicians must fill out all required fields and sign the form in order to complete physician signature - van.
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The purpose of physician signature - van is to certify medical information provided by the physician.
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Physician signature - van must include relevant medical information and the physician's signature.
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