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COMPREHENSIVE PHYSICAL EXAMINATION QUESTIONNAIRE Name Date of Birth Age What medical concerns do you have? Allergies: Are you allergic to any drugs? (circle) No Yes Please list: Are you allergic to

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What is comprehensive physical examination questionnaire?

Comprehensive physical examination questionnaire is a document that gathers detailed information about an individual's health and wellness through a series of medical tests and observations.

Who is required to file comprehensive physical examination questionnaire?

Certain individuals, such as athletes, employees in specific industries, and individuals undergoing medical evaluations may be required to file a comprehensive physical examination questionnaire.

How to fill out comprehensive physical examination questionnaire?

To fill out a comprehensive physical examination questionnaire, individuals must provide accurate information about their medical history, current health status, and any relevant medical tests or examinations.

What is the purpose of comprehensive physical examination questionnaire?

The purpose of a comprehensive physical examination questionnaire is to assess an individual's overall health and wellness, identify any potential health risks or issues, and determine eligibility for certain activities or programs.

What information must be reported on comprehensive physical examination questionnaire?

Information such as medical history, current medications, allergies, surgeries, family history of diseases, lifestyle habits, and results of medical tests or examinations must be reported on a comprehensive physical examination questionnaire.

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