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Santa Ana Unified School District
ATHLETICS MEDICAL SCREENING FORM
Last Name:___First: ___ DOB:___ Gender (circle one) Male / FemaleStudent ID #___Grade:___ Sport(s): ___HEALTH HISTORY : TO BE COMPLETED
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What is medical history evaluation physical?
Medical history evaluation physical refers to the process of assessing a person's medical background, including past illnesses, treatments, surgeries, and family health history, often conducted as part of a physical examination.
Who is required to file medical history evaluation physical?
Individuals seeking certain medical procedures, applying for health insurance, or participating in specific activities like sports or employment that require a health clearance are typically required to file a medical history evaluation physical.
How to fill out medical history evaluation physical?
To fill out a medical history evaluation physical, individuals should provide accurate and complete information regarding their past health issues, treatments, medications, family health history, and any current health concerns in a designated form or questionnaire.
What is the purpose of medical history evaluation physical?
The purpose of a medical history evaluation physical is to gather important health information that can help healthcare providers assess an individual's health status, identify potential risks, and guide future medical care or interventions.
What information must be reported on medical history evaluation physical?
Information that must be reported includes personal identification details, current medications, allergies, previous medical conditions, surgeries, family health history, lifestyle factors (such as smoking or alcohol use), and any recent health changes.
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