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EAST MIDWOOD HEBREW DAY SCHOOL 1256 EAST 21 STREET, BROOKLYN, NY 11210 PHONE 7182531555 FAX7183383934APPLICATION FOR Winter/Spring 2017 SOCCER PROGRAM Igor Pet lakh Coachman/Guardian Name/Contact
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To fill out the Emory Division of Physical form, follow these steps:
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Start by providing your personal information, including your full name, date of birth, and contact information.
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Indicate the purpose of the form, which is to request a physical examination.
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Specify any medical conditions, allergies, or medications you are currently taking.
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Answer the questionnaire regarding your medical history, including past illnesses, surgeries, and family medical history.
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The Emory Division of Physical refers to a specialized unit within Emory University or affiliated institutions focusing on physical health, physical therapy, and rehabilitation services.
Individuals seeking physical therapy services, healthcare professionals, or institutions needing to report physical health data must file with the Emory Division of Physical.
To fill out the Emory Division of Physical forms, individuals must provide personal information, details about their physical condition, and any relevant medical history as instructed on the form.
The purpose of the Emory Division of Physical is to enhance physical health, provide therapy services, and facilitate research in physical rehabilitation.
Information that must be reported includes personal identification details, medical history, current physical conditions, and treatment goals.
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