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WINSTON Support Services, LLC PHYSICAL EXAMINATION REPORT Name Address Birthdate Phone # HISTORY Operations Injuries Hernia Acute / Chronic Disease Use of Narcotics / Meds / Alcohol / Tobacco Hospitalizations
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How to fill out physical examination report 071911doc:

01
Begin by reading the instructions carefully to understand the requirements and purpose of the report.
02
Fill out the personal information section accurately, including the patient's name, date of birth, contact information, and any other requested details.
03
Follow the instructions to provide a detailed medical history, including any past illnesses, surgeries, medications, allergies, or chronic conditions.
04
Provide information about the patient's current complaints or symptoms, including the onset, duration, and severity of each symptom.
05
Enter the results of the physical examination, documenting any abnormalities or findings in an organized manner.
06
If applicable, include the results of any laboratory tests, imaging studies, or other diagnostic procedures that have been performed.
07
Answer all the questions pertaining to the patient's lifestyle, habits, and social history, such as smoking, alcohol consumption, exercise routine, and occupation.
08
Ensure that all sections of the report are completed accurately and legibly, using appropriate medical terminology where necessary.
09
Review the completed report for any errors or missing information before signing and dating it.
10
Submit the physical examination report 071911doc to the relevant authority or healthcare provider as instructed.

Who needs physical examination report 071911doc:

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The physical examination report 071911doc may be required by medical professionals, such as doctors, nurses, or specialists, to assess the health status of a patient.
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Employers or organizations may request the physical examination report 071911doc as part of their pre-employment screening process.
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