Athletic physical examination form - University of Wisconsin - Platteville - uwplatt 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name and the sport(s) you will be participating in at the top of the form. Ensure that your contact information is accurate.
  3. Fill out your permanent address, including street number, city, state, zip code, and phone number. This information is crucial for communication purposes.
  4. Provide your date of birth and social security number in the designated fields. Double-check for accuracy to avoid any issues later.
  5. In the medical history section, circle any conditions you currently have or have had in the past. Be thorough to ensure a complete medical assessment.
  6. Complete the examination section by filling in your height, weight, blood pressure, pulse rate, and vision details as required.
  7. Finally, ensure that a physician completes the certification section with their signature and clinic information before submitting the form.

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