MIS 6347-2026

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  1. Click ‘Get Form’ to open the MIS 6347 document in the editor.
  2. Begin with Part 1: Student Information. Fill in the student's name, sex, age, date of birth, school, grade, sport(s), and home address. Ensure all fields are accurately completed for proper identification.
  3. Proceed to Part 2: Medical History. Carefully answer each question regarding medical history and allergies. Circle any questions you are unsure about and provide explanations for 'yes' answers in the designated area.
  4. In Part 3: Physical Examination, a licensed physician must complete this section. Ensure they fill out all required fields including height, weight, blood pressure, and findings from the examination.
  5. Finally, both the student and parent/guardian must sign and date the form at the bottom of page 2 to validate it.

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2021 4.9 Satisfied (38 Votes)
2017 4.2 Satisfied (33 Votes)
2013 4.6 Satisfied (32 Votes)
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