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History and Physical Examination Record for a Combative Sport Professional SECTION 1 TO BE COMPLETED BY COMBATIVE SPORT PROFESSIONAL Personal HistoryTODAYS DATES IS MY (CHECK ONLY ONE BOX):First Application1.

How to fill out history and physical examination

How to fill out history and physical examination:

1. Begin by gathering the patient's personal information, including their name, age, gender, and contact details.
2. Document the patient's medical history, including any past illnesses, surgeries, or significant medical events.
3. Conduct a thorough physical examination, recording vital signs such as blood pressure, heart rate, temperature, and respiratory rate.
4. Take note of the patient's current medications, allergies, and any known medical conditions.
5. Ask specific questions about the patient's chief complaint or reason for the visit, documenting their symptoms and any associated factors.
6. Perform a detailed review of systems, assessing each major body system for any abnormalities or symptoms.
7. Document any relevant family history, such as hereditary conditions or diseases.
8. Include a detailed social history, asking about the patient's lifestyle, occupation, habits (such as smoking or alcohol consumption), and any potential exposure to environmental hazards.
9. Record the patient's immunization history and any preventive health screenings they may have undergone.
10. Summarize your findings, making note of any abnormalities or concerns that may require further investigation or referral to a specialist.

Who needs history and physical examination:

1. Patients who are seeking primary care or general medical services.
2. Individuals who are scheduled for surgery or other invasive procedures.
3. Individuals applying for certain jobs or participating in specific activities that require a medical evaluation.
4. Patients who have a chronic medical condition and require ongoing monitoring and assessment.
5. Individuals who are admitted to a healthcare facility for treatment or evaluation.
6. Individuals who are enrolling in certain clinical trials or research studies that require baseline health assessments.
7. Patients who are seeking a second opinion or seeking a new primary care provider.

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