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Please comment on any abnormal condition the student has had or is being treated for Provider s Signature PROVIDER STAMP Address Phone Health Wellness Center 170527 Fax 631 420-2009 wellness farmingdale. Mouth/Throat/Dental 14. Genitourinary System 6. Neck/Thyroid 15. Emotional/Mental Status 7. Heart 8. Skin 10. Abdomen 2. Eyes 11. Nervous System 3. Ears 12. Extremities/Joints 4. Nose/Sinuses 13. Back 5. Lungs/Chest Date of Physical Exam / / 9. Breasts For Females - Date of LMP Please list...
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How to fill out athletic physical examination

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Step 1: Obtain the athletic physical examination form from your school or sports organization.
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Step 2: Fill out personal information such as your name, date of birth, and contact information.
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Step 3: Provide details about your medical history, including any previous injuries or illnesses.
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Step 4: Answer questions about your current health condition, medications, and allergies.
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Step 5: Complete the physical examination section, which may involve measurements, blood pressure, and general health assessment.
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Step 6: If required, provide a urine sample and complete any additional tests specified on the form.
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Step 7: Sign and date the form to certify the accuracy of the information provided.
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Step 8: Submit the completed athletic physical examination form to the appropriate authority or organization.

Who needs athletic physical examination?

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Athletic physical examinations are typically needed by individuals who participate in sports or athletic activities.
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This includes professional athletes, college and high school athletes, as well as recreational sports enthusiasts.
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The purpose of the examination is to ensure that individuals are in good health and physically fit to engage in strenuous physical activities.
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The examination can help identify any underlying medical conditions or injuries that may impact an individual's performance or put them at risk during sports participation.
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In many cases, athletic physical examinations are mandatory and required by schools, sports teams, and organizations to ensure the safety and well-being of the athletes.
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Athletic physical examination is a comprehensive medical examination to assess an individual's fitness and health for participation in sports or athletic activities.
Athletes, particularly student athletes, are often required to undergo and file athletic physical examination.
Athletic physical examination forms can typically be filled out by a healthcare provider or physician during a physical exam appointment.
The purpose of athletic physical examination is to ensure that athletes are in good health and fit to participate in sports, as well as to identify any potential health risks or issues.
Information such as medical history, current medications, past injuries, family history of medical conditions, vital signs, and physical fitness levels may be reported on athletic physical examination.
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