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PHYSICAL EXAMINATION FORM (To be completed by Physician or Nurse Practitioner) Name: Date Last Height Weight First Temp Vision: Last eye exam: Middle BP R P: L Resp with glasses? Sex DOB/ Age with
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What is physical examination form?
Physical examination form is a document that records the results of a medical evaluation to assess an individual's physical health.
Who is required to file physical examination form?
The requirement to file a physical examination form varies depending on the specific organization or institution. Generally, it may be required for certain job applications, school admissions, or participation in organized sports.
How to fill out physical examination form?
To fill out a physical examination form, you typically need to provide personal information such as name, date of birth, contact details, and medical history. You may also need to undergo various medical tests and examinations, which will be documented on the form.
What is the purpose of physical examination form?
The purpose of physical examination form is to assess and document an individual's physical health status, identify any potential health issues or risks, and ensure they are suitable for specific activities or positions.
What information must be reported on physical examination form?
The information reported on a physical examination form usually includes personal details, medical history, current medications, allergies, immunization records, results of various medical tests (e.g., blood pressure, vision, hearing), and the healthcare provider's evaluation.
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