Get the free 2017-2018 Student Physical Form - Xavier High School
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P. / Check each line Normal Abnormal Followup Omitted General Skin / Scalp HEENT Neck Lungs Heart Abdomen Musculoskeletal/ Scoliosis Neurological Endocrine Genetalia/ Tanner Stage Psychosocial Nutrition Dental Hematocrit /Hemoglobin Date HCT HGB Vision Screening Right Left Auditory Screening PASS FAIL NOT CLEARED TO PARICIPATE IN SPORTS GYM ALLERGIES YES NO N/A EPI-PEN Provided by student. XAVIER HIGH SCHOOL 30 West 16th Street New York N.Y. 10011 212 924-7900 MEDICAL REPORT AND SPORTS...
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What is student physical form?
Student physical form is a document that reports the physical examination results of a student.
Who is required to file student physical form?
Students who are enrolling in school or participating in school sports or activities are required to file student physical form.
How to fill out student physical form?
Student physical form can be filled out by a licensed healthcare provider who performs the physical examination of the student.
What is the purpose of student physical form?
The purpose of student physical form is to ensure that the student is healthy and physically able to participate in school activities.
What information must be reported on student physical form?
Student physical form must include the student's medical history, current health status, and any recommendations from the healthcare provider.
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