General physical examination form pdf 2026

1. Click ‘Get Form’ to open the general physical examination form in the editor.
2. Begin by entering the patient's name and last four digits of their social security number in the designated fields. Ensure that all information is typed clearly.
3. Fill in the patient's contact details, including daytime and evening phone numbers, age, and the VAMC where they receive care.
4. Complete the primary disability/diagnosis section by selecting appropriate options for spinal cord injury levels, PTSD, or other conditions as applicable.
5. In the medical history section, attach necessary documents such as recent EKGs for patients over 40, a list of current medications, and any relevant discharge summaries.
6. For allergies and other health concerns, answer yes or no questions regarding dysreflexia, anticoagulation requirements, smoking status, and substance abuse.
7. Finally, ensure that the examining clinician fills out their details at the end of the form and provides their signature to confirm medical fitness for participation.

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