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Revised 4/20/12-Page 1 of 4 COPY this Clearance Form for the student to return to the school. KEEP the complete document in the student s medical record. 2012 2013 SPORTS QUALIFYING PHYSICAL EXAMINATION
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How to fill out 2012-2013 physical exam form?

01
Carefully read the instructions provided on the form to understand the required information and any specific guidelines.
02
Begin by providing your personal details such as your name, date of birth, address, and contact information in the designated sections.
03
Fill in the medical history section accurately, mentioning any past or present illnesses, surgeries, allergies, or chronic conditions you may have. Make sure to include specific dates if required.
04
Answer the questions related to your lifestyle habits such as smoking, alcohol consumption, and exercise routine honestly. This information helps in assessing your overall health.
05
In the immunization section, indicate whether you have received vaccinations for specific diseases such as influenza, hepatitis, or measles, and provide the corresponding dates.
06
If applicable, complete the section on medications you are currently taking, including the name, dosage, and frequency of each medication.
07
If there is a section for family medical history, provide details about any hereditary conditions or diseases that are present in your immediate or extended family.
08
Proceed to the physical examination portion and describe any recent check-ups, screenings, or tests you have undergone. Include the dates and results, if available.
09
If required, provide the contact information of your primary care physician or any other healthcare provider who is familiar with your medical history.

Who needs 2012-2013 physical exam form?

01
Students: Many educational institutions, especially colleges and universities, require students to submit a physical exam form to ensure their overall health and wellness before enrollment.
02
Athletes: Athletes participating in organized sports or athletic events often need to provide a physical exam form to ensure they are fit to compete and minimize the risk of injuries.
03
Job Applicants: Some job positions, particularly those that involve physically demanding tasks or work in certain environments, may require candidates to undergo a physical examination as part of the hiring process.
04
Individuals Traveling Abroad: Some countries require a physical exam form or medical clearance for individuals entering or residing in their territory for an extended period, especially if they plan to work or study there.
05
Military Personnel: Before joining the military, recruits typically must undergo a comprehensive physical exam to determine their physical and mental fitness for service.
Overall, the need for a 2012-2013 physical exam form depends on the specific requirements of educational institutions, employers, foreign countries, and military organizations. It is always best to check with the relevant authority to confirm if you need to fill out this form.
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The physical exam form is a document that records the results of a medical examination.
Certain individuals, such as athletes or employees in specific industries, may be required to file a physical exam form.
Physical exam forms are typically filled out by a healthcare provider during a medical examination.
The purpose of a physical exam form is to document an individual's health status and any findings from a medical examination.
Physical exam forms may include information about the individual's medical history, current health status, and any specific findings from the examination.
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