Get the free Physical Form 10-11 - Drake

Drake University Student-athlete Medical Evaluation Form CONFIDENTIAL INFORMATION Name: Date of Birth: Last First MI Home Address Home Phone () Yes No Allergy or severe reaction to any medication

How to fill out physical form 10-11

How to fill out physical form 10-11?

1. Start by carefully reading the instructions: Before filling out the physical form 10-11, it is important to carefully read the instructions provided. This will ensure that you understand the purpose of the form and the information that needs to be filled in.
2. Provide personal information: Begin by providing your personal information such as your name, address, contact details, and any other information required. Make sure to double-check the accuracy of the information before moving on to the next section.
3. Provide medical history: The physical form 10-11 requires you to provide your medical history including any pre-existing medical conditions, allergies, medications you are currently taking, and previous surgeries or hospitalizations. Answer these questions honestly and provide as much detail as possible.
4. Answer screening questions: The form may include several screening questions related to your overall health and lifestyle. Answer these questions accurately and truthfully. These questions are essential for assessing your suitability for certain activities or programs.
5. Have the form reviewed by a healthcare professional: Once you have filled out the form, it is recommended to have it reviewed by a healthcare professional such as your primary care physician. They can confirm that all the information provided is accurate and provide any necessary recommendations or updates.

Who needs physical form 10-11?

1. Student-athletes: Physical form 10-11 is typically required for student-athletes participating in school sports programs. It ensures that they are in good health and physically able to engage in the chosen sport.
2. Job applicants: Certain job positions, particularly those that involve physical activities or have specific health requirements, may require applicants to fill out physical form 10-11. This is to assess their fitness for the job and identify any potential health risks.
3. Recreational program participants: Some recreational programs such as summer camps, fitness classes, or adventure programs may require participants to complete a physical form 10-11. This is to ensure the safety and well-being of all participants.
4. Military personnel: Individuals enlisting in the military or joining the reserve forces often need to provide a completed physical form 10-11. This helps the military assess their physical fitness and overall health.

It is important to note that the specific requirements for physical form 10-11 may vary depending on the organization or institution requesting it. Always refer to the instructions provided and consult with the relevant authority if you have any doubts or questions.

For pdfFiller’s FAQs

What is physical form 10-11?

Physical form 10-11 is a document used to report a taxpayer's physical condition and fitness for a specific purpose.

Who is required to file physical form 10-11?

Individuals who are required to undergo a physical examination for a specific purpose, such as for employment or insurance purposes, are required to file physical form 10-11.

How to fill out physical form 10-11?

Physical form 10-11 should be completed by the individual undergoing the physical examination, with information accurately reflecting their physical condition and fitness for the specified purpose.

What is the purpose of physical form 10-11?

The purpose of physical form 10-11 is to provide a standardized document for assessing an individual's physical condition and fitness for a specific purpose, such as employment.

What information must be reported on physical form 10-11?

Information that must be reported on physical form 10-11 includes personal details, medical history, current medications, and the results of the physical examination.

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