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3191 W. Broad St. Col, OH 43204 P: (614) 2794900 F: (614) 8884424Physical Examination NamePhone NumberAddressDate of BirthTemp Pulse Height inVITAL SIGNS Regular IrregularWeight lbACUITYUncorrectedBMI.

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How to fill out the Physical Examination PERRLA Yes No HEARING TEST online

Filling out the Physical Examination PERRLA Yes No HEARING TEST form online can streamline the process of gathering important health information. This guide provides clear, step-by-step instructions to help you complete each section effectively.

Follow the steps to complete the form accurately online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your personal information in the designated fields. Fill in your name, phone number, address, and date of birth accurately.
  3. In the Vital Signs section, input your temperature, pulse, height, weight, and note if your heart rhythm is regular or irregular.
  4. For the Acuity section, check your uncorrected BMI and complete the field of vision if applicable.
  5. In the Vision Test area, for each eye, indicate the visual acuity with or without corrective lenses. Mark whether you can distinguish various colors and note if you have monocular vision for either eye.
  6. In the PERRLA section, indicate Yes or No as appropriate based on the examination results.
  7. Proceed to the Hearing Test section and record the distance from which a forced whispered voice can be first heard for both the right and left ear.
  8. Complete the Review of Systems, indicating any normal or abnormal findings in each listed area.
  9. Sign and print your name, along with the date, in the final section provided for the licensed independent practitioner.
  10. Once all fields are completed, review your entries for accuracy, then save your changes, download, print, or share the completed form as necessary.

Complete the Physical Examination PERRLA Yes No HEARING TEST form online today.

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Assess P.E.R.R.L.A, and extraocular movements through the six cardinal positions of gaze. Cranial nerve III is called the oculomotor nerve, and is the motor neuron that controls the majority of the eye's movement. It is also responsible for accommodation, eyelid opening, and pupillary constriction.

To document the findings of a pupillary examination, many students and doctors use PERRLA, which stands for: Pupils Equal, Round, Reactive to Light and Accommodation.

PERRLA is an acronym that stands for the pupil qualities your doctor should review during an eye exam. The list includes Pupils, Equal, Round, Reactive (to), Light, and Accommodation.

Your eye doctor will perform a PERRLA test. If the exam room is not already dim, the doctor will dim the lights. They will examine your pupil to check its size and shape. In the final step, the eye doctor will have you look at a nearby object such as their finger or a pen.

To document the findings of a pupillary examination, many students and doctors use PERRLA, which stands for: Pupils Equal, Round, Reactive to Light and Accommodation.

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Fill Physical Examination PERRLA Yes No HEARING TEST ...

PERRLA is an acronym used to document a common pupillary response test. This test is used to check the appearance and function of your pupils. The PERRLA eye exam is like a physical for your eyes. But it can also help indicate neurological conditions. PERRLA is a standard exam to check eye and vision health. This test may also detect underlying neurological conditions. Learn in detail the meaning behind this abbreviation. The eye assessment in nursing is a way to gauge the patient's eye health. PERRLA is a process used during an eye exam to check if your pupils are working normally or if there are any issues. A vision screening test, whispered voice hearing test, and assessment of pupillary response are often included in the physical exam based on the setting.

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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