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CALIFORNIA STATE UNIVERSITY, BAKERSFIELD SPORTS MEDICINE DEPARTMENT Student Tryout Physical Examination( Please Print Clearly BLACK INK ONLY!) NameTodays Date CSUB ID#___ Date of BirthSocial Security
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How to fill out csub physical examination form

01
Obtain the physical examination form from CSUB or download it from their website.
02
Fill in your personal information such as name, date of birth, student ID number, etc.
03
Provide details about your medical history including any past illnesses or surgeries.
04
Have a healthcare provider perform the physical examination and complete the form.
05
Make sure all sections of the form are properly filled out and signed by the healthcare provider.
06
Submit the completed form to the appropriate department at CSUB.

Who needs csub physical examination form?

01
Students who are enrolling in courses at CSUB may need to provide a physical examination form as part of the enrollment process.
02
Athletes or students participating in certain sports programs at CSUB may also be required to submit a physical examination form.
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The CSUB physical examination form is a document used to record the health status and medical history of students required to participate in certain programs or activities.
Typically, students enrolling in certain health-related programs, athletics, or other designated activities at CSUB are required to file the physical examination form.
To fill out the CSUB physical examination form, students should provide their personal information, medical history, and details regarding any physical examinations conducted by a licensed healthcare provider.
The purpose of the CSUB physical examination form is to ensure that students meet health and safety standards for participation in specific programs or activities.
The information that must be reported includes personal details, medical history, vaccination records, and results from any recent physical examinations.
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