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Participation Medical History Questionnaire
Sam Houston State University
LAST NAMEFIRST NAMEMIDDLE INITIALSTUDENT ID NUMBERHEIGHT (inches)WEIGHT (LBS)DATE OF BIRTHED PHONEADDRESSHOME PHONECITYSTATEZIP
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How to fill out pre-participation medical history questionnaire
How to fill out pre-participation medical history questionnaire
01
Obtain a copy of the pre-participation medical history questionnaire.
02
Read and understand each question on the form.
03
Fill out the form accurately and honestly, providing as much detail as possible.
04
If you have any questions or are unsure about how to answer a particular question, consult with a healthcare professional for guidance.
05
Review the completed form to ensure all questions have been answered and there are no errors or omissions.
06
Submit the completed form to the appropriate healthcare provider or organization as instructed.
Who needs pre-participation medical history questionnaire?
01
Athletes participating in organized sports or physical activities
02
Students enrolling in school sports programs
03
Individuals undergoing a medical evaluation prior to starting a new exercise or fitness regimen
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What is pre-participation medical history questionnaire?
Pre-participation medical history questionnaire is a form that collects information about an individual's medical history in relation to participating in a specific activity or event.
Who is required to file pre-participation medical history questionnaire?
Individuals who are participating in the specific activity or event are required to file the pre-participation medical history questionnaire.
How to fill out pre-participation medical history questionnaire?
Individuals can fill out the pre-participation medical history questionnaire by providing accurate information about their medical history, current health conditions, and any medications they may be taking.
What is the purpose of pre-participation medical history questionnaire?
The purpose of the pre-participation medical history questionnaire is to assess an individual's medical fitness to participate in a specific activity or event, and to identify any potential health risks.
What information must be reported on pre-participation medical history questionnaire?
The pre-participation medical history questionnaire usually asks for information such as past illnesses, surgeries, current medications, allergies, and family medical history.
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