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Jennifer Davis, MA, LMFTProfound Impact Therapy MFC# 499342817 Crow Canyon Road #201B, San Ramon, CA 945839252987172Jdavis profoundimpactmft. Compare Date Name of Counseled (if minor) Address City
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To fill out the impact sports physical form, follow these steps:
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- Start by writing your personal information, including your name, address, phone number, and date of birth.
03
- Provide details about your medical history, including any past injuries, surgeries, or medical conditions.
04
- Answer the questions about your current health status, such as whether you have any allergies or ongoing medical treatments.
05
- Complete the section on immunizations, ensuring that you provide accurate information about the vaccines you have received.
06
- If you take any medications, list them along with the dosage and frequency.
07
- Specify any restrictions or limitations you may have for participating in sports activities.
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- Finally, sign and date the form to certify that the information provided is accurate and true.

Who needs impact sports physical formrapyour?

01
Anyone participating in impact sports requires an impact sports physical form, also known as a pre-participation physical evaluation form. This form is typically needed for individuals who engage in contact sports, such as football, hockey, basketball, wrestling, or rugby. It is mandatory for athletes, both amateurs and professionals, to undergo a sports physical examination to ensure they are fit to participate and to identify any potential health risks or conditions that may affect their performance or safety during physical activities.
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Impact sports physical formrapyour is a form required for athletes participating in contact sports to ensure they are physically fit to compete safely.
Athletes participating in impact sports are required to file the form.
The form should be filled out by a qualified healthcare provider after conducting a physical examination of the athlete.
The purpose of the form is to ensure that athletes are in good physical health to participate in contact sports and to prevent injuries.
The form typically includes information about the athlete's medical history, current health status, and any restrictions or recommendations for participation.
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