Auwolves.com8SportsMedPhysicalFormSports Med Physical Form (PDF) - Alvernia University Athletics 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Last Name, First Name, and Middle Initial in the designated fields. Ensure accuracy for identification purposes.
3. Fill in your Date of Birth, Height, and Weight. This information is crucial for your physical assessment.
4. Provide contact details including Home Phone Number and Cell Phone Number to facilitate communication.
5. Complete the medical history section by indicating any abnormalities in vision, blood pressure, and pulse. Use the provided fields to describe any issues.
6. In the examination section, check 'Normal' or 'Abnormal' for each body system listed. If abnormal, provide a description where necessary.
7. Identify any problems that may limit activity or require ongoing care from the Sports Medicine Staff.
8. The Health Care Provider must print their name, sign, and indicate their professional title before submission.

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