Get the free 2013-14 Physical Exam Form (PDF) - Concordia Academy

Revised 4/9/13-Page 1 of 3 COPY this Clearance Form for the student to return to the school. KEEP the complete document in the student s medical record. 2013-2014 SPORTS QUALIFYING PHYSICAL EXAMINATION

How to fill out 2013-14 physical exam form

How to fill out the 2013-14 physical exam form:

1. Start by carefully reading the instructions provided on the form. Make sure you understand the purpose of each section and the information you are required to provide.
2. Begin by filling out your personal information accurately. This may include your full name, date of birth, address, phone number, and any other details requested.
3. Next, provide information about your medical history. This may involve listing any past or current medical conditions, surgeries, allergies, or medications you are currently taking. Be as thorough as possible to ensure accurate and comprehensive information.
4. Proceed to fill out the section related to your immunization history. You may be required to provide information about vaccines you have received, the dates they were administered, and the healthcare provider who administered them. If applicable, include copies of your immunization records.
5. If you have any ongoing medical conditions or if you are currently under the care of a healthcare provider, provide their contact information and any relevant details in the designated section.
6. Moving forward, you may encounter a section requesting information about your family medical history. This may include listing any significant illnesses, diseases, or conditions that occur frequently within your family. If you are unsure, try to gather information from close family members before filling out this section.
7. The next part of the form may require you to undergo specific medical tests or examinations. Follow the instructions carefully and consult with a healthcare professional if needed. Once completed, provide the results or documentation as required.
8. Lastly, review the completed form and ensure all information is accurate and legible. Any errors or omissions should be corrected before submitting the form.

Who needs the 2013-14 physical exam form:

The 2013-14 physical exam form may be required by various individuals or organizations for different purposes. Some common examples include:

1. Students: Schools, colleges, or universities may require students to submit this form as part of their enrollment or participation in sports or other activities.
2. Athletes: Sports teams or athletic associations may request athletes to provide this form to ensure their physical readiness for participation.
3. Employees: Certain professions or industries might require employees to undergo regular physical exams to assess their capability to perform their job safely.
4. Insurance purposes: Insurance companies may require applicants to complete this form as part of the underwriting process to assess their overall health and potential risk factors.

It is important to note that the necessity and specific requirements of the 2013-14 physical exam form may vary depending on the organization or entity requesting it. It is advisable to inquire with the relevant authority to determine if this form is needed and if there are any additional guidelines to follow.

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What is 14 physical exam form?

The 14 physical exam form is a document used to record the results of a physical examination.

Who is required to file 14 physical exam form?

Individuals who are required to undergo a physical examination as part of a specific process or requirement.

How to fill out 14 physical exam form?

The form can be filled out by providing accurate and complete information about the individual's physical examination results.

What is the purpose of 14 physical exam form?

The purpose of the form is to document the results of the physical examination for record-keeping and evaluation purposes.

What information must be reported on 14 physical exam form?

The form typically requires information such as the individual's personal details, physical examination results, and any relevant medical history.