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Student name: Student ID#: DEPARTMENT OF PHYSICAL THERAPYPhysician Clearances form confirms that had a medical examination on. He/She is physically and emotionally able to perform duties of physical
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How to fill out physician clearance

01
To fill out physician clearance, follow these steps:
02
Visit your physician's office or make an appointment to see them
03
Inform the physician or the staff that you need to fill out physician clearance
04
Provide any necessary information or documentation required by the physician
05
Answer any questions asked by the physician accurately and honestly
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Follow any instructions given by the physician regarding completing the clearance form
07
Review the filled-out form for any errors or missing information
08
Sign and date the form as required
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Submit the completed physician clearance form to the relevant party or organization

Who needs physician clearance?

01
Physician clearance is required for individuals who:
02
- Are participating in certain sports or physical activities
03
- Are applying for certain job positions that involve physical or health-related requirements
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- Are undergoing medical procedures or surgeries
05
- Have certain medical conditions that may impact their ability to engage in specific activities
06
- Are starting a new exercise or fitness program
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Physician clearance is a document signed by a healthcare provider confirming an individual's fitness for a particular activity or event.
Individuals participating in certain activities or events may be required to file physician clearance.
Physician clearance can typically be filled out by the healthcare provider who has examined the individual and can include information such as medical history, current medications, and any restrictions on physical activity.
The purpose of physician clearance is to ensure that individuals are medically cleared to participate in specific activities or events without putting themselves at risk.
Physician clearance may include information such as medical history, current medications, restrictions on physical activity, and the healthcare provider's contact information.
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