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UNIVERSITY OF WISCONSINOSHKOSH SPORTS MEDICINE
ANNUAL ATHLETIC PHYSICAL UPDATE
NAME:School ID#:SPORT:
LAST PHYSICAL EXAM:
LOCAL ADDRESS:SMOKER: YesNoCLASS: FRESH
Campus Email:
LOCAL PHONE:SOPH SEX:
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The University of Wisconsin Oshkosh is a public university located in Oshkosh, Wisconsin.
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