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DATE:___Physical Examination Form Name:Date of Birth:Sport(s):Age:School: Height:Weight:B/P:****I have reviewed the student athletes health history. Pulse:Initials: ___ (MD/DO)Visual Acuity CV: PulsesBrachial:Femoral:LungsNormalAbnormal

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Fill in your personal information such as name, address, date of birth, and contact information.

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Anyone who is required to undergo a physical exam for reasons such as employment, school enrollment, sports participation, or medical treatment may need to fill out a physical form.

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