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STUDENT NAME (LAST, FIRST) ID# GRADE(20192020): School: PARTICIPATION PHYSICAL EVALUATIONMEDICAL HISTORY SPORT(S): Please answer each question by circling YES or NO. If you do not know the answer
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Step 1: Start by gathering all necessary documents, such as previous medical records, test results, and prescribed medications.
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Step 2: Provide personal information, including full name, date of birth, address, and contact details.
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Step 3: Answer questions regarding medical history, such as existing medical conditions, past surgeries, and chronic illnesses.
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Step 4: Fill out details about family medical history, including any genetic diseases or conditions that run in the family.
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Step 5: Specify any allergies or adverse reactions to medications, foods, or environmental factors.
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Step 6: Provide information about current medication usage, dosage, and frequency of intake.
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Anyone seeking medical care or undergoing a physical examination may need to fill out a physical and medical history form. This includes new patients visiting a healthcare provider for the first time, individuals involved in pre-employment medical screenings, athletes participating in sports physicals, and individuals undergoing certain surgical procedures. Additionally, individuals with chronic illnesses or those seeking specialized medical consultations may be required to provide a detailed physical and medical history.
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Physical and medical history is a record of a person's past illnesses, injuries, surgeries, medications, and other health-related information.
Individuals are required to file their physical and medical history.
Physical and medical history can be filled out by providing accurate and detailed information about one's health and medical background.
The purpose of physical and medical history is to provide healthcare providers with important information about a person's health background to better assess and treat any current or future health issues.
Information such as past illnesses, surgeries, medications, allergies, family medical history, and lifestyle habits must be reported on physical and medical history form.
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