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Get Belmont Abbey College Physical Examination 2019-2026

First Name MI Birthdate: Height Vision: Hearing: Weight R 20/ TPR / / L 20/ Corrected: Y Gross Right Left N 15 Ft. BP / Pupils: Equal Unequal Right Left Lab Work: (NCAA required for *Student Athletes* (Freshmen and new Transfers only) Sickle Cell Trait Results: Positive Neg.

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How to fill out the Belmont Abbey College Physical Examination online

Completing the Belmont Abbey College Physical Examination form online is a straightforward process that ensures your health information is accurately reported. This guide provides detailed steps to help you fill out the form correctly and efficiently.

Follow the steps to complete the online physical examination form.

  1. Press the ‘Get Form’ button to acquire the physical examination document and open it in your chosen editor.
  2. Begin by filling out your last name, first name, and middle initial in the designated fields. Enter your birthdate, height, and weight accurately.
  3. For the vision section, indicate your vision acuity for each eye by writing in the appropriate numbers next to 'R' for right and 'L' for left. If corrective lenses are used, select 'Y' for yes.
  4. In the temperature, pulse, and respiration (TPR) section, fill in the respective measurements in the spaces provided.
  5. Document your blood pressure reading in the specified BP section. This allows for an understanding of your cardiovascular health.
  6. Complete the pupils section by indicating if they are equal or unequal, as well as the results for the right and left pupils.
  7. If applicable, fill out the lab work section for NCAA-required tests, including your sickle cell trait results. Ensure to provide the necessary documentation if results are positive.
  8. Optionally, you can include lab work results such as Hgb/HCT and urinalysis if relevant.
  9. Complete the general medical exam section by marking 'Normal' or 'Abnormal' for each category and adding any necessary comments.
  10. List any allergies or medications in the space provided. If more room is needed, attach a separate list.
  11. As an athlete, indicate your clearance status by marking the appropriate option—either passed, passed pending further evaluation, or failed, detailing the reasons if necessary.
  12. Answer whether you are currently under treatment for any medical or emotional conditions, providing an explanation if applicable.
  13. State your recommendation for physical activity, marking 'Unlimited' or 'Limited' and explaining the limitations if necessary.
  14. Ensure you provide the physician's signature, print name, title, and office phone number, along with the date of completion.
  15. Once you have filled out the form thoroughly, save your changes, and download or print it for your records or submission.

Complete the Belmont Abbey College Physical Examination form online to ensure your health data is properly submitted and processed.

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We welcome everyone, from any background and tradition, who is committed to fostering that growth and joining in the mission of the college. Learn about what makes our traditional Catholic college so special.

97.2% (2022) Belmont Abbey College / Acceptance rate

With a GPA of 3.83, Belmont University requires you to be near the top of your class, and well above average. Your transcript should show mostly A's.

97.2% (2022) Belmont Abbey College / Acceptance rate

The full-time BAC undergraduate population is made up of 49% women, and 51% men.

Admission Requirements (Applicants with an undergraduate cumulative grade point average of less than a 3.0 are invited to apply for conditional admission.) To apply to the graduate degrees at Belmont Abbey College, all degrees* require: Application for admission. Paid application fee.

Belmont Abbey College has an acceptance rate of 97%.

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