Get Nrotc Report Of Medical History Form

Filling out the Nrotc Report of Medical History Form online is a straightforward process that requires attention to detail and accuracy. This guide will provide clear instructions on how to navigate each section of the form to ensure your medical history is accurately documented.

Follow the steps to complete the Nrotc report of medical history form online.

1. Press the ‘Get Form’ button to access the form. This will open the Nrotc Report of Medical History Form in your preferred editor.
2. Begin by entering the patient's name, including last, first, and middle names in the designated fields.
3. Input the identification number associated with the patient.
4. Fill in the home address, specifying the street or rural free delivery, city or town, state, and ZIP code.
5. Provide the examining facility's name and its corresponding city and state.
6. Indicate the purpose of the examination clearly.
7. In the section about the patient's present health, describe current health status and any medications currently being used, using additional pages if necessary.
8. Provide information on any known allergies, height, and weight.
9. Specify the patient’s occupation accurately.
10. Indicate whether the patient is right-handed or left-handed by checking the appropriate box.
11. Review and respond to the past/current medical history questions, checking ‘yes,’ ‘no,’ or ‘don’t know’ for each item listed.
12. For females, complete the additional questions regarding menstrual history and any female disorders.
13. Answer questions about employment and educational history, noting any medical conditions that may have impacted these experiences.
14. Provide details regarding any surgeries, hospitalizations, or mental health treatment that have occurred.
15. Confirm immunizations received, thoroughly listing each one.
16. Ensure the form is signed and dated by the examinee, with the printed or typed name in the designated areas.
17. Once all sections are completed, review the form for accuracy, and then save your changes. You can download, print, or share the completed form as necessary.

Start filling out your Nrotc report of medical history form online today!