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NATRON COUNTY SCHOOL DISTRICT #1 PHYSICAL EXAMINATION FORM Physicians Statement Must Be Dated AFTER MAY 1 to Be Valid For the Upcoming School Year RED Areas Are To Be Completed By Parent and Student
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How to fill out physical exam form 01-05-15:

01
Start by providing your personal information, including your full name, date of birth, and contact information.
02
Next, fill in your medical history, including any previous surgeries, allergies, and chronic illnesses or conditions.
03
Provide details about any medications you are currently taking, including the name, dosage, and frequency.
04
Fill out the section for your immunization history, including the dates and types of vaccines you have received.
05
If applicable, provide information about any existing or previous employment-related health concerns or injuries.
06
Complete the section regarding family medical history, including any known genetic or hereditary conditions.
07
Lastly, sign and date the form to confirm the accuracy of the provided information.

Who needs physical exam form 01-05-15:

01
Individuals who require a physical examination for an upcoming employment opportunity.
02
Students who need to provide a physical exam for enrollment in educational institutions.
03
Athletes participating in certain sports or competitions that require a physical examination prior to participation.
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It is a form used for documenting the results of a physical examination conducted on May 15, 2021.
Individuals who are applying for certain jobs or programs that require a recent physical examination.
The form typically requires information such as personal details, medical history, vital signs, and any findings from the physical examination.
The purpose is to ensure that individuals are in good health and fit for the intended job or program.
Personal information, medical history, vital signs, physical examination findings, and any additional comments or recommendations from the examining healthcare provider.
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