Basic medical pdf 2025

1. Click ‘Get Form’ to open the basic medical PDF in the editor.
2. Begin by filling out SECTION I: IDENTIFYING INFORMATION. Enter your Assistance Group Number, Recipient ID, and personal details such as your last name, first name, address, date of birth (DOB), sex, and phone number.
3. Proceed to SECTION II: TO BE COMPLETED BY PHYSICIAN. Ensure that all relevant medical information is included. Fill in the physical examination details like height, weight, pulse rate, and blood pressure.
4. In the medical conditions section, describe any physical or mental health issues using appropriate codes. Provide a history of these problems including treatment and prognosis.
5. Complete the Physical Functional Capacity Assessment by answering questions regarding standing, walking, sitting, lifting/carrying abilities and any affected functions.
6. Finally, ensure all sections are filled accurately before saving or sharing your completed form directly from our platform.

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