Annual Physical Examination Masters Division Boxer - usaboxingca 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and the date of the exam at the top of the form. This personal information is essential for identification.
3. Fill out the Personal Medical History section, detailing any past illnesses, surgical procedures, allergies, and current medications. This information helps your physician assess your health accurately.
4. Provide your family medical history and age. These details can be crucial for understanding potential hereditary health issues.
5. Complete the physical measurements including height, weight, and blood pressure readings. Ensure that blood pressure does not exceed 145/90 while supine.
6. Proceed to fill out sections related to various examinations such as ears and hearing, heart, abdomen, and neurology. Be thorough in documenting results from any tests conducted.
7. In the Review of Physical Exam Results section, indicate whether you are 'FIT TO BOX' or 'NOT FIT TO BOX' based on your physician's assessment.
8. Finally, ensure that your physician signs and prints their name along with their address and license number before submitting the form.

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