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Garnet Career Center School of Practical Nursing 422 Dickinson Street Charleston, WV 25301 Phone: (304) 3486114 Fax: (304) 3486198PHYSICAL EXAMINATION FORM PART I: (GENERAL INFORMATION)Date: ___ Name:
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How to fill out physical examination form
How to fill out physical examination form
01
Start by entering your personal information such as name, date of birth, address, and contact details.
02
Fill out your medical history, including any past illnesses, surgeries, or medical conditions.
03
Provide information about any medications you are currently taking, including dosage and frequency.
04
Answer questions about lifestyle factors such as exercise habits, diet, and alcohol or tobacco use.
05
Complete the physical examination section, including measurements such as weight, height, blood pressure, and vision test results.
06
Sign and date the form to certify that the information provided is accurate and complete.
Who needs physical examination form?
01
Physical examination forms are typically needed by healthcare professionals such as doctors, nurses, and therapists to assess a patient's overall health and determine any underlying medical conditions.
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What is physical examination form?
A physical examination form is a document used to collect information regarding an individual's health status, typically completed by a healthcare professional.
Who is required to file physical examination form?
Individuals such as students, athletes, or employees in certain occupations may be required to file a physical examination form to ensure they meet health and fitness standards.
How to fill out physical examination form?
To fill out a physical examination form, start by providing personal information, then have a healthcare provider complete the medical history and examination sections, and finally sign and date the form.
What is the purpose of physical examination form?
The purpose of a physical examination form is to assess an individual's health, identify any medical concerns, and ensure fitness for participation in specific activities.
What information must be reported on physical examination form?
The physical examination form typically requires personal details, medical history, current medications, allergies, vital signs, and the results of the physical examination.
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