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PATIENT INFORMATION & HEALTH HISTORY QUESTIONNAIRE PERSONAL INFORMATION Name: (First) (Middle) (Last) Jr., II, III, IV Address: City: State: Zip: Birth Date: / / Age: Marital Status (Circle): Divorced
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How to fill out sports qualifying physical examination

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How to fill out sports qualifying physical examination

01
Obtain the necessary forms from the organization requiring the sports qualifying physical examination.
02
Fill out your personal information, including your full name, date of birth, and contact details.
03
Provide your medical history, including any previous injuries, surgeries, or medical conditions.
04
Answer any specific questions related to your participation in the sport and previous sports experience.
05
Visit a qualified healthcare professional, such as your family doctor or sports medicine specialist.
06
Bring the forms with you to the appointment and let the healthcare professional know they are for a sports qualifying physical examination.
07
Undergo a physical examination, which may include measurements of height, weight, blood pressure, and heart rate.
08
Discuss any concerns or questions about your health or ability to participate in sports with the healthcare professional.
09
Complete any additional tests or screenings required by the organization, such as blood tests or electrocardiogram (EKG).
10
Make sure all sections of the form are properly filled out and signed by both yourself and the healthcare professional.
11
Submit the completed forms to the organization requiring the sports qualifying physical examination.

Who needs sports qualifying physical examination?

01
Anyone who wishes to participate in sports, especially organized or competitive sports, may need to undergo a sports qualifying physical examination.
02
This can include athletes of all ages, from children participating in school sports to adults joining recreational or professional leagues.
03
Sports qualifying physical examinations help ensure the safety and well-being of individuals participating in sports by identifying any underlying health conditions or physical limitations that may put them at risk.
04
They may be required by schools, sports organizations, or teams as a prerequisite for participation.
05
Some examples of individuals who may need sports qualifying physical examinations include student athletes, professional athletes, weekend warriors, and individuals with pre-existing medical conditions.
06
It is always important to consult with the specific organization or team to understand their requirements and guidelines for sports qualifying physical examinations.
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