Hp template pdf 2025

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The document is a medical history and physical examination form used by the BYU Student Health Center. It collects personal information, medical history, family health history, and current health status of students. The form includes sections for listing medications, chronic conditions, surgeries, and a review of systems to identify any symptoms. Additionally, it contains a pre-participation athletic physical evaluation section with questions regarding past medical issues related to sports participation.

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Click ‘Get Form’ to open the hp template pdf in the editor.
Begin by entering your personal information at the top of the form, including your name, birthdate, and today's date. Ensure accuracy as this information is crucial for your medical records.
In the 'Reason for physical exam' section, specify why you are completing this form. This helps healthcare providers understand your needs better.
Fill out the medical history section thoroughly. List current medications, any adverse reactions to medications, chronic conditions, and past surgeries. This information is vital for your health assessment.
Complete the family history section by indicating any relevant health issues among parents and siblings. Use 'YES' or 'NO' checkboxes as needed.
Review the systems section by checking any symptoms you are currently experiencing. This will assist in a comprehensive evaluation during your physical exam.
Finally, sign and date the form at the bottom to confirm that all provided information is accurate and complete.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (175 Votes)
2010	4 Satisfied (27 Votes)

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