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PARTICIPATION PHYSICAL EVALUATION INSTRUCTIONS STUDENTS/PARENTS 1. Complete the History Form (pages 1 & 2) portion PRIOR to your appointment with your healthcare provider.2. The Student Athlete AND

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How to fill out complete the history form

01

Start by providing your personal details such as name, date of birth, and contact information.

02

Proceed to fill out any relevant medical history including past illnesses, surgeries, and hospitalizations.

03

Detail any current medications being taken, including dosage and frequency.

04

Include information about any known allergies or adverse reactions to medications.

05

Provide details about family medical history, such as any hereditary conditions.

06

Review and double-check the form for accuracy before submitting.

Who needs complete the history form?

01

Anyone seeking medical care or treatment may need to complete a history form, as it provides important information for healthcare providers to deliver appropriate care.

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What is complete the history form?

Complete the history form is a document that gathers detailed information about past events, experiences, or actions.

Who is required to file complete the history form?

Individuals who have been requested by the relevant authority or organization are required to file complete the history form.

How to fill out complete the history form?

Complete the history form can be filled out by providing accurate and detailed information about the events, experiences, or actions being reported.

What is the purpose of complete the history form?

The purpose of complete the history form is to document and record important information about past events or actions for reference or regulatory compliance purposes.

What information must be reported on complete the history form?

Information such as dates, descriptions, locations, and any relevant details about the events, experiences, or actions must be reported on the complete the history form.

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