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DoDEA Form 21 SHSM H-12-3 Sport Physical 2026
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- Click ‘Get Form’ to open the DoDEA Form 21 SHSM H-12-3 Sport Physical in the editor.
- Begin by filling out the 'Completed by STUDENT' section. Enter the student's name, date of birth, and grade accurately to ensure proper identification.
- Next, move to the 'Completed by Examining Physician/PCM' section. Here, the physician will indicate whether the student is cleared for sports participation by checking 'YES' or 'NO'.
- The physician must also provide the date of the physical exam and any restrictions or medical conditions that may affect sports participation. Ensure this information is clear and complete.
- Finally, have the examining physician print their name and title, followed by their signature and stamp. This validates the form for submission.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2017 | 4.9 Satisfied (53 Votes) |
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