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Orthopedic Surgeon Signature ... Printed Name Date . Title: Microsoft Word - Florida Atlantic University Physical Exam form.doc Author: ... 6/27/2006 4:35:34 PM .

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How to fill out the Florida Atlantic University Physical Exam Form online

Filling out the Florida Atlantic University Physical Exam Form is a vital step for students participating in athletics. This guide aims to simplify the process by providing clear, step-by-step instructions on how to complete the form online.

Follow the steps to accurately complete your physical exam form.

  1. Click the ‘Get Form’ button to access the document and open it in your editing interface.
  2. Begin by entering your personal details in the designated fields, including your name, Social Security number, age, date of birth, height, weight, and sport. Ensure that all information is accurate and clearly written.
  3. Fill in the medical history section by indicating whether your medical history has been reviewed, along with your blood pressure and pulse readings. Provide visual acuity information for both corrected and uncorrected eyesight.
  4. Indicate if you had a gynecological exam within the past year by selecting 'Yes' or 'No.' If applicable, summarize your history of present illness in the provided section.
  5. Complete the general medical examination by checking off normal findings or describing any abnormalities in the designated spaces. This includes assessments for general condition, head and neck, cardiovascular, respiratory, abdominal, genitourinary, orthopedic history, and skin.
  6. Proceed to the general orthopedic examination. Check the normal range of motion and note any abnormalities in the spine, shoulders, elbows, wrists, hips, knees, and ankles. Maintain accuracy in your assessments.
  7. After completing the examination sections, input any necessary assessments and determine if additional workup, testing, or referrals are needed.
  8. Select whether the athlete may or may not participate in Florida Atlantic University Athletics. Ensure this section is completed in consultation with the evaluating physician.
  9. Finally, gather the required signatures from your primary care or sports medicine physician and, if applicable, an orthopedic surgeon. Ensure that printed names and dates are also provided.
  10. Once finished, save your changes, and you can choose to download, print, or share the completed form as needed.

Complete your Florida Atlantic University Physical Exam Form online today for a smooth and efficient process.

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