Follow the steps to successfully complete the form

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the student's name, date of exam, and date of birth in the designated fields.
3. Enter the height, weight, blood pressure, pulse, and results of the vision test in the appropriate sections.
4. For each body system listed (skin, HEENT, lungs/chest, etc.), indicate if the system is normal or describe any abnormalities observed.
5. If applicable, provide additional clinical reports for chronic problems or serious illnesses in the specified section.
6. List current medications, including vitamins and over-the-counter medications, in the provided space.
7. Document any allergies to medications and other substances, along with the type of reaction experienced.
8. Indicate whether an has been prescribed by noting yes or no.
9. Recommend physical activity and/or sports participation, specifying if it is unlimited or limited and detailing any restrictions.
10. Upload a signed copy of this form or a record of the latest physical exam to the Brandeis Health Center, filling out the address and contact details as needed.
11. Make sure to fill in the healthcare provider's signature and date before submitting.
12. After completing the form, save your changes, and download, print, or share the form as required.

Complete the Brandeis University Physical Exam Form online today to ensure your health needs are met.