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EDU 316 10/15Athletic DepartmentPhysical Examination Forename Date of BirthEXAMINATION
HeightWeightMaleFemaleBPPulse Vision R 20/ L 20/CorrectedYESNOMEDICAL
Appearance×Marian stigmata (kyphoscoliosis,
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Start by reading the instructions on the physical examination form carefully.
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Fill out the personal information section, including your name, date of birth, and contact information.
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Provide information about your medical history, including any past illnesses, surgeries, or chronic conditions you have had.
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Answer the questions related to your current health status, such as whether you have any existing medical conditions, allergies, or medications you are currently taking.
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If required, provide details about your family medical history, including any genetic disorders or diseases that run in your family.
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Who needs physical examination form?
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Physical examination forms are typically required by various organizations and institutions. Some common examples include:
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- Employers may require physical examination forms as part of the pre-employment process to assess the health and fitness of potential employees.
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- Educational institutions may request physical examination forms from students to ensure they meet health requirements before joining certain activities or programs.
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- Medical clinics and hospitals often use physical examination forms to gather comprehensive information about patients' health history and current conditions.
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- Insurance companies may ask policyholders to complete physical examination forms to assess their insurability or determine appropriate coverage.
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What is physical examination form?
The physical examination form is a document used to record the results of a medical assessment of an individual's health.
Who is required to file physical examination form?
Certain employers, schools, and organizations may require individuals to file a physical examination form as part of their application process or ongoing requirements.
How to fill out physical examination form?
To fill out a physical examination form, individuals must provide accurate information about their medical history, current medications, and any relevant health conditions. A healthcare provider usually performs the physical examination and completes the form.
What is the purpose of physical examination form?
The purpose of a physical examination form is to assess an individual's overall health, identify any existing medical conditions, and ensure that they are fit for certain activities, jobs, or programs.
What information must be reported on physical examination form?
Typically, a physical examination form requires information about the individual's medical history, current medications, allergies, family history of diseases, and results of physical assessments such as blood pressure, heart rate, and vision.
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