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University of Pittsburgh at Titusville Nursing ProgramPREENTRANCE PHYSICAL EXAMINATION FORM (must be completed by a licensed physician)Students Name ___Date ___The University recognizes that certain

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How to fill out pre-entrance physical examination form

01

Provide personal information such as name, date of birth, address, and contact information.

02

List any known medical conditions or allergies.

03

Record any medications currently being taken.

04

Detail any previous surgeries or medical procedures.

05

Include information about any ongoing medical treatment or therapy.

Who needs pre-entrance physical examination form?

01

Individuals applying to educational institutions like universities, colleges, or vocational schools.

02

Candidates seeking employment in certain industries that require physical fitness tests.

03

Athletes participating in organized sports programs.

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What is pre-entrance physical examination form?

The pre-entrance physical examination form is a document that requires individuals to undergo a medical examination before entering a certain program or institution.

Who is required to file pre-entrance physical examination form?

Individuals who are looking to enroll in a specific program or institution are required to file the pre-entrance physical examination form.

How to fill out pre-entrance physical examination form?

The pre-entrance physical examination form can be filled out by providing accurate and up-to-date medical information as requested on the form.

What is the purpose of pre-entrance physical examination form?

The purpose of the pre-entrance physical examination form is to ensure that individuals are in good health and meet the necessary medical requirements for entering a program or institution.

What information must be reported on pre-entrance physical examination form?

The pre-entrance physical examination form typically requires information such as medical history, current medications, allergies, and previous surgeries.

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