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This document is a medical history and physical examination form for students enrolled in health-related programs at Mt. San Antonio College. It gathers personal and medical information to ensure
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How to fill out 2012/13 STUDENT MEDICAL HISTORY/PHYSICAL EXAMINATION

01
Obtain a copy of the 2012/13 STUDENT MEDICAL HISTORY/PHYSICAL EXAMINATION form.
02
Fill out personal information at the top of the form, including your name, date of birth, and contact information.
03
Provide details of any past medical history, including chronic conditions, surgeries, and allergies.
04
List any medications currently being taken, along with dosage and frequency.
05
Indicate any family medical history that may be relevant, such as hereditary diseases.
06
Complete the physical examination section, where a healthcare provider may need to assess your health.
07
Sign and date the form, confirming that the information provided is accurate to the best of your knowledge.
08
Submit the completed form to the appropriate school or institution office as instructed.

Who needs 2012/13 STUDENT MEDICAL HISTORY/PHYSICAL EXAMINATION?

01
All students enrolling in new schools or programs for the 2012/13 academic year.
02
Students participating in sports or physical education programs.
03
Students who have recently changed schools or transferred to a new district.
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People Also Ask about

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.
Listen to pronunciation. (MEH-dih-kul HIH-stuh-ree) 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.
Physical examination is a vital skill for health care professionals, such as nurses, paramedics, pharmacists, and health care assistants. It is the process of evaluating the physical condition of a patient by using observation, palpation, percussion, auscultation, and smell.
In general, the standard physical exam typically includes: Vital signs: blood pressure, breathing rate, pulse rate, temperature, height, and weight. Vision acuity: testing the sharpness or clarity of vision from a distance. Head, eyes, ears, nose and throat exam: inspection, palpation, and testing, as appropriate.
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.
We always complete a formal H&P on a new patient in the office and for admission to the hospital; it is required. Although it is called "History and Physical," it includes an assessment and plan. The assessment may be a differential diagnosis, a list of symptoms, or a problem list.
Definition. Physical examination is the process of evaluating objective anatomic findings through the use of observation, palpation, percussion, and auscultation. The information obtained must be thoughtfully integrated with the patient's history and pathophysiology.
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.

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The 2012/13 Student Medical History/Physical Examination is a document that collects essential health information and assesses the physical condition of students for the academic year.
All students enrolling in school for the 2012/13 academic year are required to file the Student Medical History/Physical Examination.
To fill out the Student Medical History/Physical Examination, students or their guardians should provide accurate personal information, medical history, and any relevant health conditions as prompted on the form.
The purpose of the Student Medical History/Physical Examination is to ensure that students are in good health, to identify any medical needs, and to promote a safe and healthy school environment.
The information that must be reported includes personal identification details, vaccination history, previous medical conditions, allergies, medications, and any recent physical exams.
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