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SUN Potsdam Sports Medicine PHYSICAL EXAMINATION FORM Name Sport Date of birth PHYSICIAN REMINDERS Consider additional questions or more sensitive issues: Do you ever feel sad, hopeless, depressed,
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Start by gathering all the necessary information and documents required for the physical examination form.
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Carefully read the instructions provided with the form to understand what information needs to be filled out.
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Begin with the personal information section, which may include your name, age, gender, address, contact information, and date of birth.
04
Fill out the medical history section by providing details about your past and current medical conditions, surgeries, medications, allergies, and immunization records.
05
Follow the instructions for the physical examination section, which usually involves recording vital signs like blood pressure, heart rate, and body temperature.
06
Document any physical findings or abnormalities observed during the examination, such as scars, rashes, or deformities.
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Provide any additional information requested, such as specific tests or screenings that need to be conducted.
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Submit the filled-out physical examination form to the appropriate recipient or authority, as per the given instructions.
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Various individuals and groups may require a physical examination form, including:
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- Athletes participating in sports competitions or events
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- Military personnel or members of armed forces
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- Patients before undergoing certain medical procedures or surgeries
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- Insurance companies for assessing health or life insurance eligibility
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What is physical examination form?
A physical examination form is a document used to record the results of a medical examination conducted by a healthcare provider.
Who is required to file physical examination form?
Individuals who are required to undergo a physical examination by their employer or for specific programs may be required to file a physical examination form.
How to fill out physical examination form?
To fill out a physical examination form, individuals need to provide personal information, medical history, and the results of their physical examination conducted by a healthcare provider.
What is the purpose of physical examination form?
The purpose of a physical examination form is to document the health status of an individual at a specific point in time for various purposes such as employment, school enrollment, or program participation.
What information must be reported on physical examination form?
The information reported on a physical examination form typically includes personal details, medical history, vital signs, physical examination findings, and any additional tests or screenings conducted.
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