Get Physical Exam Form - Sachem Home Page - Sachem

Filling out the Physical Exam Form is essential for various school requirements, ensuring that students meet health and safety standards. This guide will provide step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the Physical Exam Form effectively.

1. Press the ‘Get Form’ button to access the Physical Exam Form and open it in your chosen document editor.
2. Begin by entering the date of the examination, the name of the school, and the student’s information, including their last name, first name, phone number, grade, birth date, and home address.
3. Fill in the family physician's details, including their name, phone number, and any practice number that may apply. Indicate the student’s gender by selecting the appropriate option.
4. Complete the immunization and health history section by indicating if an immunization record is attached and if any immunizations have been given since the last health appraisal. Note any allergies, significant medical or surgical history, and emergency contacts if necessary.
5. In the physical exam section, check the box if the entire examination is normal. Enter the student’s height, weight, and blood pressure values, and provide data related to vision and hearing assessments as required.
6. Specify any current diseases or abnormalities detected during the examination. Additionally, indicate if medical approval is recommended for specific sports categories.
7. Fill in the physician’s information, including the name (printed, typed, or stamped), address, and signature. Ensure the date of the examination is also filled out accurately.
8. Finally, have a parent or guardian complete the preparticipation physical examination questionnaire, including the risk acknowledgment form. Collect their signature and date before submission.
9. Review all sections for completeness. Once confirmed, save your changes, and you can choose to download, print, or share the completed form as needed.

Complete your Physical Exam Form online today to ensure timely submission and compliance with school requirements.