Get Physical Exam Form - Cloud County Community College - Cloud

Filling out the Physical Exam Form for Cloud County Community College is a straightforward process designed to gather essential health information. This guide will provide you with clear instructions to complete the form efficiently while ensuring all necessary details are included.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the designated editing interface.
2. Begin by filling in your personal information at the top of the form, including your last name, first name, and middle name. Next, enter your birth date in the specified format.
3. Indicate whether you are currently seeking the care of a physician by checking the appropriate box for 'Yes' or 'No'. If you answered 'Yes', provide an explanation in the space provided.
4. State whether you are currently taking medications regularly. Again, check the box for 'Yes' or 'No' and give details if applicable.
5. Respond to the question about past hospitalizations by selecting 'Yes' or 'No'. If you have been hospitalized, explain the circumstances in the provided section.
6. Review and check any previous health issues from the listed conditions such as allergies, kidney problems, or heart problems. If you check any of these, ensure to explain them further in the available space.
7. Provide the date of your last tetanus immunization in the specified space.
8. The following sections, marked for the physician to complete, will be filled out during your medical examination. These sections include height, weight, blood pressure, and various systems examinations.
9. After the physician's examination, they will provide recommendations and sign the form. Make sure all information from the physician has been completed.
10. Once everything is completed, save any changes made to the form. You may also download, print, or share your completed form as needed.

Complete your documents online today to ensure all necessary health information is submitted accurately.