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(Last) (First) (Middle) ADDRESS CITY STATE ZIP DATE OF BIRTH: MEDICAL HISTORY (to be completed by student): Medical History of Family. (Please include heart or kidney disease, cancer, hypertension, diabetes, mental or nervous disorders, and other chronic.

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How to fill out the Home Health Aide Physical Exam Form online

Completing the Home Health Aide Physical Exam Form online is a crucial step in preparing for a career in home health care. This guide will help users navigate the various sections of the form with clear instructions to ensure accurate completion.

Follow the steps to successfully fill out the form.

  1. Click 'Get Form' button to obtain the form and open it in the editor.
  2. Enter your name in the 'Name of Student' section, including last, first, and middle names as applicable.
  3. Provide your address, including street address, city, state, and ZIP code in the designated fields.
  4. Fill in your date of birth in the space provided to verify your age.
  5. Complete the 'Medical History' section. Include information about your family's medical history, any hospitalizations, childhood diseases, other significant illnesses, injuries, past operations, epilepsy, eye/ear problems, respiratory issues when exerting, jaundice history, allergies, and current therapies or medications.
  6. Sign and date the form to confirm that the information provided is accurate and complete.
  7. The designated medical professional will complete the second half of the form, which includes an assessment of physical fitness, height, weight, and potential limitations.
  8. Ensure that the medical professional signs and dates their section of the form, which is essential for its validity.
  9. Once all sections are completed, you can save your changes, download a copy, print, or share the form as required.

Complete your Home Health Aide Physical Exam Form online today to continue your journey towards a rewarding career.

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11) Physical exam: Vital signs- thorough vital signs including Temp, HR, BP, RR, O2, height, weight,, orthostatic BP/ HR when appropriate, General description- comfort/distress of patient, patient appearance and specific features.

In general, the standard physical exam typically includes: Vital signs: blood pressure, breathing rate, pulse rate, temperature, height, and weight. Vision acuity: testing the sharpness or clarity of vision from a distance. Head, eyes, ears, nose and throat exam: inspection, palpation, and testing, as appropriate.

Techniques that your healthcare provider will use to complete this exam include: Auscultation: Listening to your body. Inspection: Looking at your body. Palpation: Feeling your body with their fingers or hands. Percussion: Tapping or producing sounds on specific areas of your body.

PHYSICAL EXAMINATION - Normal. Vital signs: BP 120/80; P 68/min reg; RR 14/min; T 36.9 °C; Wt. ... General: Well-developed, well-nourished, appearing stated age. ... Head: Normocephalic without scalp lesions. ... Neck: Neck supple with full range of motion (ROM). ... Chest & back: No abnormal curvature of spine. ... Lungs: ... Cardiovascular:

WHEN YOU PERFORM a physical assessment, you'll use four techniques: inspection, palpation, percussion, and auscultation. Use them in sequence—unless you're performing an abdominal assessment. Palpation and percussion can alter bowel sounds, so you'd inspect, auscultate, percuss, then palpate an abdomen.

Filling out and using a physical form typically involves the following steps: Step 1: Gather relevant information. ... Step 2: Record vital signs. ... Step 3: Perform a physical examination. ... Step 4: Complete additional sections. ... Step 5: Review and sign the form. ... Step 6: Printable Physical Form.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232