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ATHLETIC PHYSICAL EXAMINATION FORM TO BE COMPLETED BY PHYSICIAN i.e., MD, DO, PA, NP (Unable to accept Chiropractors signatures) Name Height Vision; R20/ Weight L 20/ Social Security No. Blood Pressure
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How to fill out athletic physical examination form

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How to Fill Out an Athletic Physical Examination Form:

01
Start by carefully reading the instructions and requirements provided with the form. This will ensure that you provide all the necessary information accurately.
02
Begin by filling out your personal information, including your full name, date of birth, address, and contact information. Make sure to double-check the accuracy of these details.
03
Fill in the section regarding your medical history. This includes any previous injuries, surgeries, or illnesses that may affect your athletic participation. Be thorough and provide as much detail as possible.
04
Proceed to the section asking for your family's medical history. You may need to consult with your parents or guardians to gather this information accurately.
05
Complete the section regarding any current medications you are taking or any allergies you have. Include the specific names of medications and the dosage if applicable.
06
Provide information about your immunizations, including the dates of your most recent vaccinations. This may require referring to your immunization records, so make sure to have them on hand.
07
Answer all the questions related to your general health. These may include inquiries about your exercise habits, diet, and any symptoms or conditions you are currently experiencing.
08
Sign and date the form, confirming that all the information provided is true and accurate to the best of your knowledge.
09
Give the form to a qualified healthcare professional, such as a physician or nurse, who will review your medical history, perform a physical examination, and complete the necessary sections of the form.
10
Finally, submit the completed athletic physical examination form to the appropriate institution or organization that requires it, such as your school or sports team.

Who Needs an Athletic Physical Examination Form:

01
Student-athletes: Most schools and athletic organizations require student-athletes to undergo a physical examination to ensure their health and readiness for participation in sports activities.
02
Amateur athletes: In some cases, even amateur athletes participating in recreational leagues or competitions may need to fill out an athletic physical examination form to ensure they are physically fit for their chosen sport.
03
Professional athletes: Professional athletes are typically required to undergo regular physical examinations to ensure their continued fitness for competitive sports and to monitor any potential health risks.
04
Camp participants: Some sports or recreational camps may require participants to fill out an athletic physical examination form to ensure their safety and well-being during camp activities.
05
Specialized athletic programs: Certain specialized athletic programs or training centers may have specific requirements for physical examinations to ensure the participant's suitability for the program and minimize the risk of injuries.
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