Brandeis University Physical Exam Form 2019-2025 free printable template

Brandeis University Physical Exam Form Physical done within 6 months is required for NCAA athletes (and is submitted to Athletics separately on your own) and is recommended for Health Services. Students

How to fill out Brandeis University Physical Exam Form

How to fill out Brandeis University Physical Exam Form

1. Obtain the Brandeis University Physical Exam Form from the university's website or health services office.
2. Fill out your personal information at the top of the form, including your name, date of birth, and student ID.
3. Provide a complete medical history, including any past illnesses, surgeries, allergies, and medications you currently take.
4. Schedule an appointment with a healthcare provider for the physical examination.
5. Have the healthcare provider complete the physical examination section of the form, ensuring they sign and date it.
6. Review the form for completeness and accuracy before submission.
7. Submit the completed form to the appropriate office at Brandeis University by the specified deadline.

Who needs Brandeis University Physical Exam Form?

1. All incoming students, including first-year and transfer students, at Brandeis University.
2. Students participating in athletics or certain health programs may also be required to submit the form.
3. Any student who plans to live on campus must complete the physical exam.

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What is Brandeis University Physical Exam Form?

The Brandeis University Physical Exam Form is a document that students must complete to provide evidence of their physical health and to ensure they are fit for participation in university activities.

Who is required to file Brandeis University Physical Exam Form?

All incoming students, including first-year students and transfer students, are required to file the Brandeis University Physical Exam Form.

How to fill out Brandeis University Physical Exam Form?

To fill out the Brandeis University Physical Exam Form, students must provide personal health information, have a healthcare provider complete the physical exam portion, and submit the form through the appropriate university health services portal.

What is the purpose of Brandeis University Physical Exam Form?

The purpose of the Brandeis University Physical Exam Form is to ensure that students are in good health and to identify any medical needs for support during their time at the university.

What information must be reported on Brandeis University Physical Exam Form?

The form requires reporting personal identification information, medical history, immunization records, and the results of a physical examination conducted by a qualified healthcare provider.