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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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What is physical exam form?
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.
Who is required to file physical exam form?
Certain professions, such as commercial drivers or athletes, may be required to file a physical exam form as part of their job requirements.
How to fill out physical exam form?
To fill out a physical exam form, individuals need to provide personal information, medical history, and undergo a physical examination by a healthcare provider.
What is the purpose of physical exam form?
The purpose of a physical exam form is to ensure that individuals meet the necessary health requirements for their specific job or activity.
What information must be reported on physical exam form?
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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