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PHYSICAL EXAMINATION (To be completed by the Physician) Athletes Name: Sport: Date of Birth: Height: Weight: Pulse: Blood Pressure / Clinical Evaluation: Normal Abnormal Check each item in appropriate

How to fill out physical - doctor39s bformb

How to fill out physical - doctor's form?

Start by providing your personal information:

1. Write your full name, including your first name, middle initial (if applicable), and last name.
2. Enter your date of birth, including the day, month, and year.
3. Fill in your gender (male or female).
4. Indicate your current address, including the street, city, state, and ZIP code.
5. Provide your telephone number and email address for contact purposes.

Proceed to the medical history section:

1. Answer questions about any pre-existing medical conditions or illnesses you have had in the past.
2. Mention any allergies or sensitivities to medications or substances.
3. Include details about any surgeries or hospitalizations you have undergone.
4. Specify if you are currently taking any medications and provide their names and dosages.
5. Note any chronic conditions or diseases you have been diagnosed with.

Complete the family medical history section:

1. Give information about any medical conditions that run in your family, such as heart disease, diabetes, cancer, or mental illnesses.
2. Include details about the relationships of the family members affected by these conditions.

Proceed with the immunization history:

1. List all the vaccines you have received, including dates and locations.
2. Include any booster shots or additional vaccinations you have had.

Move on to the physical examination:

1. Provide details about your height and weight.
2. Mention any visual or hearing impairments if applicable.
3. Indicate any difficulties or abnormalities regarding your cardiovascular, respiratory, musculoskeletal, or nervous systems.
4. Note any mental health concerns or conditions.
5. Include information about any medications or treatments you are currently undergoing.

Who needs physical - doctor's form?

1. Individuals who are applying for a new job may need to submit a physical examination form as part of the hiring process. Employers may require this to ensure the candidate is in good health and fit for the job.
2. Students enrolling in certain educational institutions, such as colleges and universities, may be required to submit a physical examination form to ensure they can participate in various activities and be in good health while on campus.
3. Athletes participating in sports programs, whether at the amateur or professional level, often need to provide a physical examination form to ensure they are physically fit to engage in the specific sport.
4. Some insurance companies may request a physical examination form to assess the health condition of an individual before providing coverage.
5. Individuals undergoing a medical procedure or surgery may be required to fill out a physical examination form to evaluate their overall health and identify any potential risks or complications.

Remember to consult the specific guidelines and instructions provided with the physical - doctor's form you have, as they may vary depending on the purpose and requirements of the form.

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