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This document is a physical examination report that must be completed and signed by a physician, documenting the health status of a child within the past 12 months. It includes details such as date of exam, weight, height, vision and hearing tests, as well as an evaluation of various physical health aspects and medical conditions.
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How to fill out physical examination report

How to fill out physical examination report
01
Start with the patient's personal information: name, age, gender, and the date of the examination.
02
Include the reason for the physical examination, such as routine check-up, employment requirement, or specific medical concern.
03
Document the patient's medical history: past illnesses, surgeries, allergies, and current medications.
04
Record vital signs: blood pressure, heart rate, respiratory rate, and temperature.
05
Conduct a thorough physical assessment: check general appearance, skin condition, and any physical abnormalities.
06
Evaluate body systems: focus on the cardiovascular, respiratory, gastrointestinal, and musculoskeletal systems.
07
Note findings from any specialized tests or examinations conducted during the visit.
08
Summarize your findings and provide any recommendations or necessary follow-up actions.
09
Double-check for accuracy and completeness before signing and dating the report.
Who needs physical examination report?
01
Patients requiring routine health assessments.
02
Individuals applying for jobs that necessitate a health clearance.
03
Athletes needing physical evaluations for participation in sports.
04
Patients undergoing preoperative evaluations.
05
Individuals seeking insurance coverage or renewing policies.
06
Students entering programs that require health screenings.
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What is physical examination report?
A physical examination report is a formal document that provides results and findings from a physical examination, including the patient's medical history, vital signs, and any observed physical conditions.
Who is required to file physical examination report?
Individuals in certain professions, such as drivers, pilots, or those in public safety roles, may be required to file a physical examination report as part of their licensing or employment requirements.
How to fill out physical examination report?
To fill out a physical examination report, a medical professional should complete sections detailing the patient's medical history, conduct a physical examination, record vital signs, and note any findings or recommendations.
What is the purpose of physical examination report?
The purpose of a physical examination report is to document the patient's health status, assist in diagnosing conditions, support clinical decisions, and meet regulatory or employment requirements.
What information must be reported on physical examination report?
Information that must be reported includes the patient’s identification, medical history, examination results, vital signs, any relevant tests or imaging results, and the healthcare provider's recommendations.
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