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Get the free MEDICAL CLEARANCE FORM - precollege.umd.edu - precollege umd

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4150 Campus Drive, Toll Physics Bldg Rm 4111 College Park, Maryland 20742 301.405.6776 TEL 301.314.9155 FAX PRECOLLEGE PROGRAMS IN UNDERGRADUATE STUDIES Upward Bound Math & Science LIFT rev 01/16
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Read the instructions on the medical clearance form carefully before filling it out.
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Provide accurate personal information such as your name, date of birth, and contact details.
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Make sure to mention any pre-existing medical conditions or allergies that you have.
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Provide details about your current medications and dosages, if applicable.
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Answer all the questions on the form honestly and to the best of your knowledge.
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Who needs medical clearance form?

01
Individuals planning to undergo certain medical procedures or surgeries.
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Individuals traveling to certain countries that have specific health requirements.
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Students participating in school or university sports programs.
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Individuals applying for insurance policies or coverage.
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Individuals participating in research studies or clinical trials.
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A medical clearance form is a document that requests medical clearance from a healthcare provider before a person can participate in certain activities.
Individuals who are planning to engage in activities that may pose a risk to their health or require a certain level of physical fitness may be required to file a medical clearance form.
To fill out a medical clearance form, individuals must provide their personal information, medical history, current medications, and any relevant medical conditions or concerns.
The purpose of a medical clearance form is to ensure that individuals are healthy enough to participate in certain activities and do not pose a risk to themselves or others.
Information that must be reported on a medical clearance form includes personal details, medical history, current medications, allergies, and any existing medical conditions.
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