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(The parent or guardian should fill out this form with assistance from the student athlete)Exam Date: ___Name: ___ Home Address: _ ___ Phone: ___ Date of Birth: ___ Age: ___ Gender: ___ Grade: ___
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01
Start by providing your personal information such as name, age, date of birth, and contact details.
02
Fill out the medical history section by listing any current or past illnesses, medications, surgeries, and allergies.
03
Provide information on your family medical history, including any hereditary conditions or diseases.
04
Describe your lifestyle habits, such as smoking, alcohol consumption, exercise routine, and diet.
05
Complete the physical examination portion by documenting vital signs, height, weight, and any specific measurements or findings.
06
Include any additional tests or screenings that were performed as part of the physical exam.
07
Review the form for accuracy and completeness before submitting it to the appropriate medical professional.

Who needs physical exam form revised?

01
Individuals who are required to undergo a physical exam for employment purposes.
02
Athletes participating in sports programs or competitions.
03
Students enrolling in certain academic institutions or programs.
04
Individuals applying for life insurance or disability benefits.
05
Military personnel before deployment or as part of routine health checks.
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The physical exam form revised is a updated version of the standard physical exam form used for medical evaluations.
Individuals who are required to undergo a physical exam as part of their job or for medical certification are required to file the physical exam form revised.
To fill out the physical exam form revised, one must provide accurate and up-to-date information about their medical history, current health status, and any relevant medical conditions.
The purpose of the physical exam form revised is to ensure that individuals are medically fit for their job or any certification requirements.
The physical exam form revised must include personal information, medical history, current health status, and any medical conditions that may affect the individual's ability to perform their job responsibilities.
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