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AM SSM MSI CHARTER MEDICAL SCHOOL APPLICATION 4000 W. 114th Street, Suite 100 Leawood, KS 66211 (913) 327141 (913) 3271491 (Fax) www.amssm.org Joan mass.org RETURN THIS FORM TO THE AM SSM OFFICE:
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Obtain the amssm msig charter medical form from the relevant authority or organization.
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Read the instructions and requirements stated on the form carefully to understand what information and documentation is needed.
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Fill in your personal details accurately, including your full name, date of birth, and contact information.
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Provide your medical history by answering any questions related to pre-existing conditions, previous surgeries, allergies, medications, etc.
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If applicable, include any relevant information regarding your fitness level or physical activity.
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Who needs amssm msig charter medical?

The amssm msig charter medical may be required by individuals participating in certain sports activities, events, or organizations. It is typically needed for athletes, sports teams, or individuals engaging in high-intensity or competitive physical activities. The purpose of the medical form is to assess the individual's health and fitness level to determine their suitability for participating in the specific sports or activities as well as to identify any underlying health conditions or risks that may require special consideration or precautions.
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The AMSSM MSIG Charter Medical is a form that documents the medical history of a member of the American Medical Society for Sports Medicine (AMSSM) Musculoskeletal Imaging Interest Group (MSIG).
Members of the AMSSM MSIG are required to file the charter medical form.
To fill out the AMSSM MSIG Charter Medical, members must provide information about their medical history, including past injuries, surgeries, and current medications.
The purpose of the AMSSM MSIG Charter Medical is to ensure that members are medically cleared to participate in sports medicine activities and to provide necessary medical information in case of emergencies.
Members must report their past medical history, including any allergies, medications, surgeries, and prior injuries.
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