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Page 1 of 2 Physical Examination Health Record Names: Address: City: Birthdate: State: Zip: Medical History I. List past hospitalizations×operations×accidents: II. Communicable Diseases: Measles
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How to fill out physical examination health record:

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Begin by carefully reading the instructions provided on the physical examination health record form. Familiarize yourself with the sections and requirements mentioned in the document.
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Start by providing your personal information in the designated section. This typically includes your full name, date of birth, contact information, and any other required details.
03
Move on to the medical history section. Here, you will be asked about any pre-existing medical conditions, past surgeries or hospitalizations, allergies, and medications you are currently taking. Be thorough and precise while documenting this information.
04
Next, fill out the section for the review of systems. This part often consists of a checklist or set of questions about different body systems such as respiratory, cardiovascular, musculoskeletal, etc. Tick the appropriate boxes or answer the questions accurately.
05
If required, you may need to provide additional information in the specific sections related to occupational health, immunizations, or special examinations. Follow the instructions provided and provide all necessary details.
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Ensure that you sign and date the document once you have completed filling it out. This validates the information provided.

Who needs physical examination health record:

01
Individuals applying for certain jobs or positions may be required to provide a physical examination health record. This includes prospective employees in industries like healthcare, food handling, childcare, or any other field that involves potential health risks to employees or clients.
02
Students enrolling in specific courses, especially those related to healthcare professions, may also need to submit a physical examination health record as part of their program or clinical requirements.
03
Athletes participating in organized sports activities, both at the amateur and professional level, typically need to undergo a physical examination and submit a health record to ensure their fitness and well-being during physical exertion.
Remember to consult the specific requirements of the organization or institution you are dealing with as they may have their own guidelines or forms for the physical examination health record.
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Physical examination health record is a document that contains information about an individual's medical history, current health status, and results of physical exams.
Individuals who are undergoing medical examinations or assessments are usually required to file physical examination health records.
To fill out a physical examination health record, you must provide accurate information about your medical history, current health status, and any results of physical exams that have been conducted.
The purpose of physical examination health record is to provide healthcare professionals with important information about an individual's health status, medical history, and any potential health risks.
Information such as personal details, medical history, current health status, results of physical exams, and any relevant medical conditions must be reported on a physical examination health record.
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