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Participation Physical EvaluationHISTORY FORM(Note: This form is to be filled out by the patient and parent prior to examination. The examiner should keep a copy of this form in the chart.) Signature

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1. To fill out note this form, follow these steps:
2. Start by opening the form in a document editor or printing a physical copy.
3. Read the instructions carefully to understand what information needs to be provided.
4. Begin by entering the necessary personal details such as name, address, and contact information.
5. Proceed to fill in the required fields related to the purpose of the note, such as date, time, and location.
6. Use clear and concise language to provide any additional details or comments in the designated section.
7. Double-check all the entered information for accuracy and completeness.
8. Sign and date the form to validate it.
9. Submit the filled-out form through the required channel (e.g., hand it over to the concerned department or send it via email).

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