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Participation Physical EvaluationHISTORY FORM
(Note: This form is to be led out by the patient and parent prior to seeing the physician. The physician should keep copy of this form in the chart.)
Date
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How to fill out yesno if yes please
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Fill out the yesno form by answering each question with either 'yes' or 'no'.
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If the answer to a question is 'no', leave the corresponding checkbox unchecked.
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What is yesno if yes please?
Yesno refers to a particular form or document that must be filed with the appropriate regulatory body.
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