Get Physical Exam Form - Washington Jefferson College - Washjeff

This guide provides a comprehensive walkthrough for filling out the Physical Exam Form required by Washington Jefferson College. It aims to assist users in accurately completing the form online, ensuring all necessary information is provided for health services.

Follow the steps to accurately complete the physical exam form.

1. Click ‘Get Form’ button to access the Physical Exam Form and open it in your preferred editing tool.
2. Begin by entering the student's name in the designated field at the top of the form. This is essential for identifying the individual undergoing the evaluation.
3. Next, the examining physician should review the student’s medical history and fill out the physician's section thoroughly, especially commenting on all positive answers.
4. Fill in the immunization details. List the dates for required immunizations such as MMR, Hepatitis B, and Meningococcal Meningitis. For each required vaccine, ensure you provide two dates when applicable and any recommended vaccines as specified.
5. Describe any abnormalities for various systems by marking 'yes' or 'no' for each system listed. If 'yes', provide detailed descriptions either in the provided space or on an additional sheet.
6. Indicate if there is loss or seriously impaired function of any organ and include any recommendations regarding the care of the student.
7. Report if the student is currently under treatment for any medical or emotional condition and provide further explanations as needed.
8. Confirm if the student can engage in all usual college activities, stating if 'no', to facilitate necessary arrangements.
9. Evaluate the student's eligibility to participate in intramural and intercollegiate athletics, providing any additional comments.
10. Finally, ensure the physician's signature, the date of completion, and the physician's address are provided before submission.
11. Once all sections are filled out, save your changes. You can then download, print, or share the completed form.

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