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1600 East Golf Road, Des Plaines, IL 60016 847-635-1885 Fax 847-376-7010 7701 North Lincoln Avenue, Skokie, IL 60077 847-635-1419 Fax 847-376-7650 Physical Examination Report Name Date of Birth Address
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How to fill out physical examination report

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How to Fill Out a Physical Examination Report:

01
Start by ensuring you have a copy of the physical examination report form. This form can usually be obtained from a medical professional or downloaded from the relevant organization's website.
02
Begin by filling out your personal information in the designated spaces. This typically includes your name, date of birth, address, and contact information.
03
Proceed to enter your medical history and any relevant information about past illnesses or conditions. Include details about any ongoing medications or treatments you are currently undergoing.
04
Next, provide accurate information regarding your current health status. This may involve answering specific questions about your overall well-being, any symptoms you may be experiencing, and any recent injuries or illnesses.
05
In the following sections, you may be required to provide measurements such as height, weight, and blood pressure. Ensure you accurately record these measurements to the best of your ability.
06
If the physical examination report includes sections for specific organ systems or body parts, answer each question honestly and thoroughly. Provide any necessary details about any concerns or abnormalities that may be relevant to your health assessment.
07
Remember to sign and date the form once you have completed all the necessary sections. In some cases, your signature may need to be witnessed by a healthcare professional.
08
Finally, if you are required to submit the physical examination report to a specific organization or institution, follow their instructions for submission carefully.

Who Needs a Physical Examination Report:

01
Employment Purposes: Many employers require a physical examination report as part of their hiring process, especially for jobs that involve physical labor, working in hazardous environments, or positions that carry a particular risk or responsibility.
02
Sports and Athletics: Athletes, both amateur and professional, often need to provide a physical examination report to ensure they are fit to participate in physical activities. This could include individuals involved in school sports, recreational sports leagues, or those competing at a higher level.
03
Preoperative Assessment: Before undergoing surgery, individuals may be required to undergo a physical examination to assess their overall health and identify any potential risks or complications.
04
Immigration and Visa Applications: Immigration authorities in certain countries may demand a physical examination report as part of the immigration process to evaluate an individual's health status and potential public health risks.
05
School and University Admissions: Some educational institutions may require a physical examination report for admission purposes, particularly for certain courses or programs with specific health requirements.
06
Insurance Coverage: When applying for life insurance, certain medical insurance policies, or disability benefits, an individual may need to submit a physical examination report to determine their insurability or eligibility for coverage.
In conclusion, filling out a physical examination report requires careful attention to detail and accurate documentation of your personal and medical information. The report is typically needed by various organizations such as employers, sports and athletics associations, medical professionals, immigration authorities, and educational institutions. Remember to follow the provided instructions and provide thorough and honest information for an accurate assessment of your health.
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