Get the free Medical, Physical, and Visual Disability(ies) Verification
Show details
Return form and relevant documentation to:
Chandra Shirley, Coordinator of Disability Services
Illinois Wesleyan University
PO Box 2900
Bloomington, IL 617022900
Shirley×ICU.edu
3095563231 (phone)
3095563436
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How to fill out medical physical and visual
How to fill out medical physical and visual
01
Begin by gathering all necessary forms and documentation, such as a medical physical form and any relevant medical history or records.
02
Start by providing your personal information, including your name, date of birth, address, and contact information.
03
Proceed to fill out the medical history section, indicating any previous medical conditions, surgeries, allergies, or medications you are currently taking.
04
Next, move on to the physical examination portion. This may involve measurements of height, weight, blood pressure, and temperature, as well as a thorough examination of different body systems, such as cardiovascular, musculoskeletal, and respiratory systems.
05
If required, complete the visual examination section. This may involve tests to assess visual acuity, peripheral vision, color vision, and depth perception.
06
Finally, review the completed form for accuracy and make sure all necessary sections have been filled out. Sign and date the form where indicated.
07
Submit the completed medical physical and visual form to the appropriate medical professional or institution.
Who needs medical physical and visual?
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A medical physical and visual examination is typically required or recommended for various individuals, including:
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