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CENTENARY UNIVERSITY SPORTS MEDICINE PARTICIPATION QUESTIONNAIRE/EXAM Name Sport Date Past Medical History Have you had any of the following medical problems? Diabetes Yes Cardiovascular Disease Yes
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Provide accurate and up-to-date personal information such as name, date of birth, address, etc.
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Fill out the relevant sections regarding medical history, including any illnesses, surgeries, or allergies you have had in the past.
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Answer all the questions honestly and to the best of your knowledge.
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Include any medications you are currently taking or have recently taken.
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Who needs physical exam form and?

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Individuals applying for a new job may need to complete a physical exam form as part of the hiring process.
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Athletes participating in organized sports usually need to undergo a physical examination and fill out a form.
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Individuals seeking to adopt a child may need to provide a completed physical exam form.
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Military personnel may be required to undergo regular physical examinations and fill out corresponding forms.
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Some insurance companies request a physical exam form when applying for certain types of insurance policies.
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Healthcare professionals undergoing licensing or certification processes often need to submit a physical exam form.
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Physical exam form is a document used to record the results of a medical examination to assess an individual's overall health and physical condition.
Certain professions, such as commercial drivers or athletes, may be required to file a physical exam form as part of their job requirements.
To fill out a physical exam form, individuals need to provide personal information, medical history, and undergo a physical examination by a healthcare provider.
The purpose of a physical exam form is to ensure that individuals meet the necessary health requirements for their specific job or activity.
Information such as vital signs, medical history, past surgeries, current medications, and any significant findings from the physical examination must be reported on the physical exam form.
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