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University of Bridgeport
Intercollegiate Athletic Department
Participation Physical Examination Form
PART A: STUDENTATHLETE HEALTH HISTORY QUESTIONNAIRE
Today's Date:___Student Athletes Name: ___
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How to fill out student athlete physical exam

How to fill out student athlete physical exam
01
Obtain the physical exam form required by the school or sports organization.
02
Schedule an appointment with a healthcare provider who can perform the exam.
03
Bring the physical exam form to the appointment.
04
The healthcare provider will review the form, perform any necessary tests or screenings, and fill out the form with the results.
05
Make sure all sections of the form are completed accurately and signed by the healthcare provider.
06
Submit the completed physical exam form to the school or sports organization as required.
Who needs student athlete physical exam?
01
Student athletes who are planning to participate in school sports or athletic programs.
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What is student athlete physical exam?
Student athlete physical exam is a medical examination that student athletes undergo to ensure they are physically fit to participate in sports.
Who is required to file student athlete physical exam?
Student athletes are required to file a physical exam form completed by a licensed healthcare provider.
How to fill out student athlete physical exam?
Student athletes can fill out the physical exam form by providing personal information, medical history, and undergoing a physical examination by a healthcare provider.
What is the purpose of student athlete physical exam?
The purpose of student athlete physical exam is to ensure the health and safety of student athletes participating in sports.
What information must be reported on student athlete physical exam?
The physical exam form must include personal information, medical history, vital signs, and any medical conditions that may affect participation in sports.
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