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OMB Number: Respondent Burden: 20 minutesGENERAL MEDICAL/PHYSICAL EXAM FORM NATIONAL DISABLED VETERANS WINTER SPORTS CLINIC (To be completed by Examining Clinician) PRIVACY ACT: VA is asking you to
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Step 1: Obtain a general medical physical exam form from your healthcare provider or the institution that requires it.
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Step 2: Fill in your personal information, including your name, date of birth, gender, and contact information.
03
Step 3: Provide a detailed medical history, including any past illnesses, surgeries, medications, allergies, and family medical history.
04
Step 4: Record your vital signs, such as blood pressure, heart rate, respiratory rate, and temperature.
05
Step 5: Describe your current health condition, including any symptoms or concerns you may have.
06
Step 6: List any medications you are currently taking, including the dosage and frequency.
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Step 7: Document any relevant tests or screenings you have undergone recently.
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Step 8: Provide a detailed review of systems, discussing any abnormalities or concerns for each body system.
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Step 9: Include any additional information or comments that you think might be relevant to the medical evaluation.
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Step 10: Review the completed form for accuracy and completeness before submitting it.

Who needs general medicalphysical exam form?

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Anyone who needs a general medical physical exam, including individuals applying for a job, participating in sports activities, starting a new school or program, or undergoing a routine medical evaluation may require a general medical physical exam form.
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General medical physical exam form is a document used to record the results of a physical examination conducted by a healthcare provider.
Individuals who need to provide proof of their physical condition for various reasons, such as employment or participation in certain activities, are required to file the general medical physical exam form.
General medical physical exam form should be filled out by providing accurate and detailed information about the individual's medical history, current health status, and any specific requirements or findings from the physical examination.
The purpose of general medical physical exam form is to document an individual's physical health status at a specific point in time, assess their overall well-being, and identify any potential health issues or concerns.
Information such as personal details, medical history, current health status, medications, allergies, and any specific findings from the physical examination must be reported on the general medical physical exam form.
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