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Standard Physical Form for Employment

Standard Physical Form for Employment

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Extremity Lower Extremity Joint Specific (optional) Hernia (males only) Normal Parent/Legal Guardian Name(s):_______________________________________________________ Address:__________________________________________________________________________ Abnormal Street City State Zip Phone #s: Home:__________________ Work:___________________ Cell:____________________ Emergency Contact(s): Name:________________________________ Relationship:____________...
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  3. Enter your official identification and contact details.
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Instructions and help about blank medical physical form

hello my name is Mark Robinson director of athletics and athletic trainer at st. George's Technical High School the purpose of this video is to help you in your student athlete fill out this physical form accurately and efficiently the form is somewhat complex and failure to fill the form out properly can result in your student athlete being ineligible page one of the physical exam form involves a series of parent and student consents the top of the page must be filled out accurately with the information that is required in the middle of the page there is a checkbox this check box is to be checked only if there is a sport that's listed that you do not want your son or daughter to participate in any sport where there's a checkmark next to it will prohibit your student athlete to participate in that sport there are five areas that require signatures the first being a parent and student signature and the remaining for being just parent signatures please sign and date each of these areas a

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