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This document must be completed by student or parent/legal guardian prior to athletic participation at Dakota College at Bottineau, in accordance with NJCAA rules and regulations. It collects medical

How to fill out medical history and physical

How to fill out Medical History and Physical Form

1. Start with personal information: Fill in your name, date of birth, address, and contact information.
2. Provide medical history: List any past illnesses, surgeries, or hospitalizations.
3. Detail current medications: Include all prescriptions, over-the-counter medications, and supplements you are taking.
4. Record allergies: Note any drug, food, or environmental allergies.
5. Family medical history: Indicate any relevant health conditions in your family.
6. Include lifestyle information: Mention habits like smoking, alcohol consumption, and exercise.
7. Answer physical examination questions: Respond to the sections that may include height, weight, and blood pressure.
8. Review for accuracy: Double-check all information before submission.

Who needs Medical History and Physical Form?

1. Individuals applying for school or college programs that require physical examination.
2. Athletes needing clearance for participation in sports.
3. Patients preparing for surgical procedures.
4. Anyone undergoing routine health check-ups or assessments.

People Also Ask about

What is the medical history and physical exam?

The H&P: History and Physical is the most formal and complete assessment of the patient and the problem. H&P is shorthand for the formal document that physicians produce through the interview with the patient, the physical exam, and the summary of the testing either obtained or pending.

What is the medical history form?

Medical History Form. Record all past and/or concomitant medical conditions or surgeries. Record only one condition or surgery per line using the codes provided in the table. When recording a condition and surgery related to that condition use one line for the condition and one line for the surgery.

What is the purpose of a history and physical H&P?

The H&P: History and Physical is the most formal and complete assessment of the patient and the problem. H&P is shorthand for the formal document that physicians produce through the interview with the patient, the physical exam, and the summary of the testing either obtained or pending.

What does a medical history and physical exam entail?

Vital signs: A nurse or medical assistant may check your height, weight, pulse, blood oxygen level, and blood pressure. They may ask you about your health and lifestyle. Questions may include if you smoke, drink alcohol, exercise, have any allergies, and have had any recent health issues or surgeries.

What does a medical history include?

Patient age. diagnoses, the type and number of surgeries and procedures scheduled to be performed, comorbidities, and the level of anesthesia required for the surgery or procedure.

What is a medical history?

A record of information about a person's health. A personal medical history may include information about allergies, illnesses, surgeries, immunizations, and results of physical exams and tests. It may also include information about medicines taken and health habits, such as diet and exercise.

What information must be included in the history and physical examination?

Patient age. diagnoses, the type and number of surgeries and procedures scheduled to be performed, comorbidities, and the level of anesthesia required for the surgery or procedure.

For pdfFiller’s FAQs

What is Medical History and Physical Form?

The Medical History and Physical Form is a document used to collect an individual's past medical history, current health status, and any relevant physical examination findings.

Who is required to file Medical History and Physical Form?

Individuals applying for medical services, students entering certain educational programs, or patients undergoing specific procedures are typically required to file a Medical History and Physical Form.

How to fill out Medical History and Physical Form?

To fill out the Medical History and Physical Form, individuals should provide accurate and complete information regarding their medical history, medications, allergies, and complete the physical exam findings as indicated by a healthcare professional.

What is the purpose of Medical History and Physical Form?

The purpose of the Medical History and Physical Form is to assess an individual's health status, identify potential health risks, and ensure appropriate medical care is provided.

What information must be reported on Medical History and Physical Form?

The form generally requires reporting personal information, medical history, current medications, allergies, past surgeries, family medical history, and findings from recent physical examinations.