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PHYSICAL EXAMINATION CLEARANCE From This form must be on file in the school before practicing with any athletic team Student Name: Birth Date: Age: Gender: M / F Address: Home Telephone: — School:

How to fill out physical examination clearance form

How to fill out a physical examination clearance form:

1. Start by carefully reading the instructions provided on the form. Make sure you understand the purpose and requirements of the form before proceeding.
2. Provide your personal information accurately. This may include your full name, date of birth, contact details, and any other information requested on the form.
3. Fill in your medical history. Provide details about any previous illnesses, surgeries, medications, or allergies you may have. It is important to be thorough and honest while answering these questions.
4. Answer the questions related to your current health. This may include information about any ongoing medical conditions, symptoms, or recent illnesses you have experienced.
5. Obtain required signatures. The form may require you to sign to indicate that the information provided is accurate to the best of your knowledge. In some cases, a healthcare professional may need to sign or provide additional information.
6. If necessary, attach any supporting documents. Some physical examination clearance forms may require you to include additional medical records, test results, or other relevant documentation.
7. Double-check all the information provided and ensure it is legible and complete. If you are unsure about any section, seek clarification from a healthcare professional or the form's issuing authority.
8. Submit the completed form as instructed. Be mindful of any deadlines or specific submission requirements mentioned on the form.

Who needs a physical examination clearance form:

1. Student-athletes: Many educational institutions and sports organizations require students participating in athletic activities to undergo a physical examination and provide a clearance form before they can engage in sports.
2. Pre-employment screening: Some employers may require potential employees to undergo a physical examination to ensure they meet the necessary health requirements for the job.
3. Military recruits: Military services often require recruits to undergo a thorough physical examination before enlisting to determine their overall health and fitness for service.
4. Some governmental agencies or licensing boards: In certain professions, such as firefighting or law enforcement, individuals may need to obtain a physical examination clearance form to meet the job's physical requirements and ensure they are fit for duty.
5. Specific medical procedures or treatments: Certain medical procedures or treatments may require a physical examination clearance to ensure the patient is in a suitable condition to undergo the procedure safely.
6. Immigration processes: In some cases, individuals applying for immigration to a particular country may be required to provide a physical examination clearance form to verify their health status.

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