
Get the free Physical History Form (1st year student athlete) - Jamestown ... - sunyjcc
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Jamestown Community College ? Jamestown First- ?year athletic physical form Name SSN or J# Sex Date of birth Local address City State Zip Phone number Athlete s signature Date.
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Start by providing your personal information accurately, including your full name, date of birth, and contact details.
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Fill in the medical history section by listing any past illnesses, surgeries, or medical conditions you have experienced. Include any relevant dates or details.
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Provide information about your current medications, including dosages and frequencies. If you're not currently taking any medications, you can leave this section blank.
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Answer questions related to allergies. Include any known allergies to medications, foods, or other substances.
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Complete the family medical history section by providing details about any hereditary conditions or diseases that run in your family.
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Answer questions about your lifestyle habits, such as smoking or alcohol consumption, as it may be relevant to your overall health.
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If applicable, fill out the section regarding women's health, including menstrual history and any potential pregnancy-related information.
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Anyone who requires a physical examination or medical treatment may need to fill out the physical history form 1st. This can include new patients seeing a healthcare provider, individuals applying for certain jobs or activities, or anyone undergoing medical procedures that require prior medical information. Always check the specific requirements or instructions provided to determine if you need to fill out the physical history form 1st.
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What is physical history form 1st?
Physical history form 1st is a document used to record an individual's medical history and physical health information.
Who is required to file physical history form 1st?
Individuals who are undergoing a medical examination or treatment are required to file physical history form 1st.
How to fill out physical history form 1st?
To fill out the physical history form 1st, one must provide accurate information about their medical history, current health status, and any ongoing medical treatments.
What is the purpose of physical history form 1st?
The purpose of physical history form 1st is to provide healthcare providers with essential information about an individual's medical background to ensure appropriate treatment.
What information must be reported on physical history form 1st?
Information such as past illnesses, surgeries, allergies, medications, and family medical history must be reported on physical history form 1st.
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