A
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D
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F
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H
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I
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J
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L
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M
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N
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O
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P
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Q
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R
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S
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U
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W
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X
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Y
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OTHER
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Directory Results for Physical Examination (Must be Completed by a Licensed Physician, Nurse Practitioner or Physicians Assistant) Athletes Name Age Height (in) Weight Vision: R 20/ (lbs) BMI ( % ile) L 20/ Corrected: Y ( BP Date of Birth ( % ile) / % ile) Pulse to Physical examination (Must be within one year of July 1 for Fall admission, January 13 for Spring admission, within Page 1 - wellesley

Physical Examination (Must be Completed by a Licensed Physician, Nurse Practitioner or Physicians Assistant) Athletes Name Age Height (in) Weight Vision: R 20/ (lbs) BMI ( % ile) L 20/ Corrected: Y ( BP Date of Birth ( % ile) / % ile) Pulse
PHYSICAL EXAMINATION (Must be completed by a Physician, PAC, or CRN). Party Wall ination
Physical examination (Must be within one year of July 1 for Fall admission, January 13 for Spring admission, within Page 1 - wellesley