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Competitor s Signature PRE-FIGHT Examination Contestant Name Height Weight Vision optional Right Left Pulse B. P. HEENT Alert PERRL Visual fields Nasal / Facial tenderness Hearing Neck supple Dental hygiene and TMJ Nodes Good balance with eyes closed 15 seconds Finger-to-nose test Lungs clear Ribs non tender to A-P / Lateral Compression No murmurs or Irregular beats NORMAL Non-tender No masses No hernias or testicular abnormality by history No organomegaly Full squat and duck walk...
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Read the pre-fight medical questionnaire carefully.
02
Provide personal information such as name, date of birth, and contact details.
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Answer all the questions accurately and honestly.
04
Disclose any previous injuries, medical conditions, or surgeries.
05
List all medications and supplements you are currently taking.
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Provide details of any allergies or reactions to medications.
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Answer any specific questions related to your health and fitness.
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Sign and date the questionnaire to confirm your responses.
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Submit the completed questionnaire to the relevant authority or organization.

Who needs pre-fight medical questionnaire?

01
Professional boxers and Mixed Martial Arts (MMA) fighters.
02
Amateur boxers and MMA fighters.
03
Combat sports athletes participating in regulated events.
04
Fighters who are preparing for a competition or bout.
05
Individuals who have a history of health issues or injuries.
06
Athletes who are required to undergo medical screening before competing.
07
Organizations and promoters organizing combat sports events.
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Pre-fight medical questionnaire is a form filled out by fighters before a scheduled match to ensure they are physically fit to compete.
All fighters participating in a match are required to file a pre-fight medical questionnaire.
Fighters can fill out the pre-fight medical questionnaire by providing accurate and detailed information about their medical history, current medication, and any recent injuries.
The purpose of pre-fight medical questionnaire is to ensure the safety of the fighters by identifying any potentially risky medical conditions that could affect their performance in the match.
Fighters must report their medical history, current medications, any recent injuries, and any known medical conditions on the pre-fight medical questionnaire.
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