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Butler University Health Services Freshman and Transfer Student Entrance Physical Examination Record To be completed by a health care provider within the last 12 months. You may use this form, or
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How to fill out physical examination record and

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How to fill out a physical examination record:

01
Begin by gathering all necessary materials and information. This may include the physical examination form, personal identification details, medical history, and any previous test results.
02
Carefully read through the physical examination form to understand the required sections and information needed. Make sure to follow any specific instructions provided.
03
Start by filling out the personal information section, which usually includes your name, date of birth, contact information, and sometimes your social security number or identification number.
04
Move on to the medical history section, where you will provide information about any previous illnesses, surgeries, medications, allergies, or chronic conditions. Be as detailed as possible and include relevant dates.
05
Next, you will typically encounter a section that requires you to disclose any family medical history. This may include information about any hereditary conditions that run in your family, such as diabetes, heart disease, or cancer.
06
The next portion usually focuses on lifestyle behaviors, such as exercise habits, smoking or alcohol consumption, and dietary preferences. Provide accurate information to help the healthcare professional gain a comprehensive understanding of your overall health.
07
Then, you will typically come across a section dedicated to vital signs, including blood pressure, heart rate, respiratory rate, and body temperature. A healthcare professional will usually record these measurements during the physical examination.
08
The following sections generally cover specific body systems, such as cardiovascular, respiratory, musculoskeletal, gastrointestinal, and neurological systems. You may be required to provide information about any symptoms or issues related to these systems.
09
Some physical examination forms may have additional sections related to particular health conditions or occupational requirements. Answer these sections accordingly, if applicable.
10
Finally, make sure to review your entries and double-check for any errors or missing information before submitting the physical examination record.

Who needs a physical examination record:

01
Individuals applying for employment: Many companies require potential employees to undergo a physical examination as part of the hiring process. The physical examination record helps assess the candidate's overall health and ability to perform specific job duties.
02
Students enrolling in academic institutions: Some schools, colleges, and universities may request students to undergo a physical examination to ensure their readiness for academic activities and participation in sports.
03
Athletes and sports professionals: Physical examination records are essential for assessing an athlete's fitness levels and identifying any health conditions that may affect their performance or require special care during training and competition.
04
Individuals participating in certain programs or events: Some programs, such as volunteer work, study abroad initiatives, or certain recreational activities, may require a physical examination record to ensure the participant's health and safety.
05
Pre-operative and pre-admission processes: Before undergoing surgery or being admitted to a hospital, patients may be asked to provide a physical examination record to assess their fitness for the procedure and ensure the best possible outcomes.
In conclusion, filling out a physical examination record requires careful attention to detail and accurate information regarding personal details, medical history, vital signs, and specific body systems. Different individuals, ranging from job applicants to students and athletes, may need a physical examination record for various reasons related to employment, education, or participation in specific programs or events.
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Physical examination record is a document that contains details of an individual's medical examination results.
Certain industries or occupations may require individuals to file physical examination records as a part of their pre-employment or periodic health screening process.
Physical examination records should be filled out by authorized medical professionals who have conducted the examination.
The purpose of physical examination record is to document an individual's medical fitness or health status for a specific purpose such as employment or participation in certain activities.
Physical examination records typically include personal information, medical history, examination results, and any recommendations or restrictions.
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