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Get IA Athletic Pre-Participation Physical Examination 2015-2024

Ed fainting, seizures, or near drowning? Does anyone in your family have asthma? Do you or someone in your family have sickle cell trait or disease? Use this space to explain any “YES” answers from above (questions #1-38) or to provide any additional information: _ 40. Are you allergic to any prescription or over-the-counter medications? If yes, list: 41. List all medications you are presently taking (including asthma inhalers & EpiPens) and the condition the medication is for: C. _ ___ A. .

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