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School City of Mishawaka Health Services Department Physical Examination Form Name M F Birthdate History of illness: (Date of onset and treatment) ADD/ADHD Allergies Asthma Diabetes Chickenpox Other
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How to fill out physical examination form 1:

01
Start by carefully reading the instructions on the form. Make sure you understand the purpose and requirements of the form.
02
Begin by providing your personal information, such as your full name, date of birth, and contact details. Fill in all the required fields accurately.
03
Proceed to the medical history section. Answer all the questions honestly and to the best of your knowledge. This may include questions about previous illnesses, surgeries, or allergies.
04
Fill in the vital signs section, where you will record details like blood pressure, heart rate, temperature, and height/weight measurements. If you are unsure about any of these measurements, consult a healthcare professional.
05
Move on to the physical examination section. Here, a healthcare provider will perform a physical examination on you and record their findings on the form. As the patient, you do not need to fill out this section.
06
If required, provide any additional information or comments that may be necessary. This could include specific concerns or any information that you believe is relevant.
07
Double-check all the information you have provided to ensure accuracy and completeness.
08
Review the completed form, making sure it is legible and all sections have been filled out correctly.
09
Sign and date the form in the appropriate fields, indicating that you have filled it out truthfully and to the best of your ability.
10
Keep a copy of the completed form for your records and submit the original to the designated recipient as instructed.

Who needs physical examination form 1:

01
Physical examination form 1 may be required by various entities or organizations, such as educational institutions, employers, or sports teams.
02
Educational institutions, especially those offering sports programs or physically demanding activities, may require students to undergo a physical examination and fill out form 1 as part of the enrollment or participation process.
03
Employers may request job applicants or employees to undergo a physical examination and submit form 1 to assess their health status and suitability for certain job roles, particularly those that involve physical labor or potential health risks.
04
Sports teams and athletic organizations may require athletes to complete form 1 to ensure they are in good health and capable of participating in their respective sports activities safely.
05
Some government agencies or programs may also request individuals to complete physical examination form 1 for specific purposes, such as immigration, military recruitment, or applying for certain licenses or certifications.
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It is a form used to report the results of a medical examination.
Employees who are required to undergo a medical examination by their employer.
The form should be completed by a licensed healthcare provider after conducting a physical examination of the employee.
The purpose is to ensure that employees are medically fit to perform their job duties.
The form should include the employee's personal information, results of the physical examination, and any recommendations from the healthcare provider.
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