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MolineCoal Valley School District No.40 Wellness Physical Exam FormEmployee/Retiree Name:Employee Retiree School Building: Patient:Relationship:The patient indicated above has completed a wellness
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Begin by filling out your personal information at the top of the form, such as your name, date of birth, and contact information.
02
Fill in any medical history, including past surgeries, allergies, and current medications.
03
Document any current health concerns or symptoms you may be experiencing.
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Be sure to accurately record your vitals, such as blood pressure, heart rate, and temperature.
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Include any notes from your healthcare provider, such as recommendations for follow-up tests or screenings.
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Physical exam form newdocx is typically needed by individuals undergoing a medical evaluation for employment, school admission, sports participation, or general health check-ups.
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Physical exam form newdocx is a document used to record the results of a medical examination.
Individuals who are undergoing medical examinations or check-ups may be required to file physical exam form newdocx.
Physical exam form newdocx can be filled out by providing accurate information about the medical examination results and any relevant medical history.
The purpose of physical exam form newdocx is to document the results of a medical examination and provide a record of an individual's health status at a specific point in time.
Information reported on physical exam form newdocx may include vital signs, medical history, current medications, and the results of physical examinations.
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