Get Physical Examination Form Physician Orthopedic Exam - Keystone

This guide aims to assist users in completing the Physical Examination Form Physician Orthopedic Exam - Keystone online. By following these clear instructions, users can ensure that they accurately provide the necessary information for their orthopedic assessment.

Follow the steps to accurately complete the orthopedic examination form.

1. Press the 'Get Form' button to access the form and open it in your preferred document editor.
2. Begin by filling out the personal information section. Enter the name and birth date of the person undergoing the examination. This information is essential for identification and record-keeping.
3. In the vision section, indicate the vision for each eye by completing the R (right) and L (left) fields. Choose whether the vision is corrected by selecting 'Yes' or 'No'.
4. Provide the height and weight measurements in the designated fields, and record the pulse rate, blood pressure, and respiration rate to complete the vital signs section.
5. For the medical findings section, evaluate various aspects of the patient's health, including appearance, eyes, ears, nose, throat, and others. Mark if findings are normal or abnormal and provide additional details for any abnormal findings.
6. In the physician orthopedic exam section, assess the shoulder, elbow, wrist/hand, neck/back/spine, pelvis/hip/thigh, knee, lower leg/ankle, and foot. Mark each as normal or abnormal and explain any abnormal findings in the space provided.
7. Answer the question regarding the patient's clearance for collegiate athletics and intramural sports by selecting one of the options: cleared without restriction, cleared with restrictions, or not cleared. Include explanations for any restrictions or if the patient is not cleared.
8. Finally, complete the physician's signature section by signing and dating the form. If applicable, place the office stamp in the designated area.
9. After completing the form, choose to save changes, download the document, print it, or share it as needed.

Complete your Physical Examination Form online today to ensure all necessary health assessments are recorded.