Get the free Physical Examination Form - Saints Athletics

THE COLLEGE OF ST. SCHOLASTIC ATHLETIC TRAINING DEPARTMENT 1200 Kenwood Ave Duluth, Minnesota 55811 218-723-5918 PHYSICAL EXAMINATION FORM 2013 2014 Athlete s Name Date of Birth Social Security Number

How to fill out physical examination form

How to fill out a physical examination form:

1. Start by carefully reading the instructions on the form. Familiarize yourself with the specific requirements, sections to be filled, and any medical information that may be required.
2. Begin by providing your personal information. This typically includes your full name, date of birth, gender, contact details, and any identification numbers or medical record numbers that may be required.
3. Proceed to fill out the medical history section. This may include questions about your past illnesses, surgeries, allergies, medications, and family medical history. Be honest and thorough while providing this information as it helps medical professionals understand your health background.
4. Move on to the physical examination portion. You may need to visit a healthcare professional who will conduct a thorough examination and fill out this section on your behalf. Make sure to bring the form along with you to the appointment.
5. The physical examination section may include measurements such as height, weight, blood pressure, heart rate, and other relevant tests. The healthcare professional will record the results accurately on the form.
6. If there are any specific medical tests, screenings, or vaccinations that are required, ensure that they are properly documented on the form. This may include laboratory tests, X-rays, immunizations, or specialized examinations depending on the purpose of the form.
7. Carefully review the completed form for any errors or missing information. Double-check that all sections have been filled appropriately and legibly. If anything is unclear or incomplete, reach out to the healthcare provider or whoever issued the form for clarification.

Who needs a physical examination form?

1. Job applicants: Many employers require a physical examination form as part of the hiring process to ensure that prospective employees are physically fit for the job.
2. Students: Various educational institutions, particularly those offering sports programs or physical education, may require students to undergo a physical examination to participate in activities or sports events.
3. Athletes: Athletes at different levels, whether professional or amateur, often need to submit a physical examination form to ensure they are in good health and fit to compete.
4. Pre-operative patients: Individuals scheduled for surgery may be asked to undergo a physical examination as a preoperative assessment to ensure their suitability for the procedure.
5. Immigration applicants: Some countries require physical examination forms as part of the immigration process to ensure individuals entering the country are in good health and do not pose any threats to public health.
6. Insurance purposes: Health insurance companies may request physical examination forms as a prerequisite for coverage or to assess an individual's health status before issuing a policy.

Remember, the specific requirements for a physical examination form may vary depending on its purpose or the institution requesting it. It is always essential to carefully read and follow the instructions provided to accurately complete the form.

For pdfFiller’s FAQs

What is physical examination form?

Physical examination form is a document used to record the results of a medical check-up done by a healthcare professional.

Who is required to file physical examination form?

Certain employers or organizations may require individuals to file a physical examination form, such as in the case of pre-employment screenings or participation in organized sports.

How to fill out physical examination form?

To fill out a physical examination form, individuals must provide personal information, medical history, undergo a medical examination, and have the healthcare professional complete and sign the form.

What is the purpose of physical examination form?

The purpose of a physical examination form is to assess the individual's overall health status, identify any underlying medical issues, and ensure they meet the necessary health criteria for a specific purpose.

What information must be reported on physical examination form?

Information reported on a physical examination form may include personal details, medical history, vital signs, laboratory test results, and the healthcare professional's assessment and recommendations.

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