Related links
UNIVERSITY PHYSICAL THERAPY MEDICAL HISTORY
Past Medical History: Have you ever had any of the following conditions? Check all that apply. □High blood pressure. □Heart condition.
Learn more
form-sf-93-report-of-medical-history.pdf
X-ray or other radiation therapy. Chemotherapy. YES NO. DONT Have you ever been rejected for military service because of physical, mental, or other reasons?
Learn more
Form CA-16 - Authorization for Examination / Medical
What History of Injury or Disease Did Employee Give You? 16. Is there any History or Evidence of Concurrent or Pre-existing Injury, Disease, or Physical
Learn more