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Begin by entering the student's name, sex, age, date of birth, address, phone number, grade, and school in the designated fields.
Provide the personal physician's name and phone number. In case of an emergency, fill out the contact information for a responsible person.
Carefully answer each medical history question. Circle any questions you are unsure about and provide explanations for any 'Yes' answers in the provided box.
Complete the physical examination section by entering height, weight, pulse, and blood pressure readings as required.
Ensure that both student and parent/guardian sign and date the form at the bottom before submission.
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