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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
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Do you cough wheeze is a symptom of respiratory issues such as asthma or bronchitis.
Individuals experiencing coughing or wheezing symptoms are required to report it to their healthcare provider.
To report coughing or wheezing, provide detailed information about the frequency, duration, triggers, and any accompanying symptoms.
The purpose of reporting coughing or wheezing is to help diagnose and treat underlying respiratory conditions.
Information such as frequency, duration, triggers, and accompanying symptoms should be reported.
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