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Participation Physical EvaluationHISTORY FORM(Note: This form is to be filled out by the patient and parent prior to seeing the physician. The physician should keep this form in the chart.) Date of
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Start by locating the information section at the top of the document. Fill in your personal details such as your name, address, phone number, and date of birth.
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Next, move on to the medical history section. Answer the questions regarding any previous or current medical conditions, allergies, surgeries, or hospitalizations. Be sure to provide accurate and complete information.
04
Proceed to the section asking about medications and supplements. List all the medications and supplements you are currently taking, including dosage and frequency.
05
In the next section, you will find questions related to your immunization history. Indicate whether you have received certain immunizations and provide dates if known.
06
The following section is dedicated to the athlete's health appraisal. Here, you need to answer questions about any previous injuries or conditions that may affect your participation in sports.
07
If applicable, there may be a section for the parent or guardian to complete. This section usually includes contact information and emergency consent.
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Any individual who is required to undergo a sports physical in Cheatham County needs the cheatham-county-sports-physical-packetpdf. This typically includes student-athletes who participate in school sports programs. Additionally, some recreational sports leagues or organizations may also require participants to complete a sports physical before participating.
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It is a form used for documenting sports physical examinations in Cheatham County.
All student athletes participating in sports activities in Cheatham County are required to file this form.
The form must be filled out by a medical professional during a sports physical examination of the student athlete.
The purpose of the form is to ensure that student athletes are physically fit to participate in sports activities and to document any medical conditions.
The form typically includes information about the student athlete's medical history, vital signs, physical examination findings, and any recommendations from the medical professional.
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