Get New Rc Physical Exam Form/f92 Form - El Camino College - Elcamino

The New Rc Physical Exam Form/f92 Form is a crucial document required for applicants of the Respiratory Care Program at El Camino College. This guide provides detailed instructions on how to complete this form online effectively, ensuring all necessary information is accurately captured.

Follow the steps to successfully complete the physical exam form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by filling out the Health History Profile on Page 1. Enter your name, program, date, address, phone number, age, and date of birth in the respective fields.
3. Carefully respond to the health history questions about medical conditions and treatments by marking ‘Yes’ or ‘No’ for each item. If you answer ‘Yes’ to any, be prepared to provide explanations in the space provided.
4. If you are currently taking any medications, indicate ‘Yes’ or ‘No’ and list all medications in the provided section if applicable.
5. Review your surgical history and any recent accidents or injuries by marking ‘Yes’ or ‘No’ and providing details where necessary.
6. Address any allergies you may have, marking ‘Yes’ or ‘No’, and describe how these allergies are treated.
7. Confirm if you have ever received treatment for psychological problems by selecting ‘Yes’ or ‘No’, and provide details if you select ‘Yes’.
8. List any childhood diseases you have experienced by marking ‘Yes’ or ‘No’ next to Rubeola, German Measles, Mumps, and Chicken Pox.
9. Once all relevant sections of Page 1 are completed, sign the form with your name to verify that the provided information is accurate.
10. Take this first page to your scheduled appointment with a health provider for the required physical examination on Page 2. Ensure the provider completes Page 2 in its entirety before submission.
11. After your health provider has filled out Page 2, you can save the completed form, download it, print it for your records, or share it as needed.

Complete your New Rc Physical Exam Form/f92 Form online today to ensure timely submission!