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Participation Physical EvaluationHISTORY FORM (Note: This form is to be led out by the patient and parent prior to seeing the physician. The physician should keep a copy of this form in the chart.)

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Explain Yes Answers Here refers to providing a detailed explanation or justification for answering 'yes' to a specific question.

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Anyone who answers 'yes' to a relevant question in a form or document may be required to file Explain Yes Answers Here.

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The information reported on Explain Yes Answers Here should include specific details or examples that support the 'yes' response given.

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