Physical Exam Form - Arizona Boxing and MMA Commission 2025

1. Click ‘Get Form’ to open the Physical Exam Form in the editor.
2. Begin by filling out the Applicant Information section. Enter your last name, first name, middle name, street address, date of birth, city, state, and zip code. Select your gender by checking either 'MALE' or 'FEMALE'.
3. In the Physical History section, indicate any relevant medical conditions by checking the appropriate boxes. Provide details about previous knockouts and any other significant injuries.
4. Complete the Boxing/Unarmed Combat Record section by entering your wins, losses, and draws for professional boxing and MMA.
5. Fill out the Physical Examination section with details such as height, weight, blood pressure readings, and any remarks regarding your health status.
6. Proceed to the Eye History and Eye Examination sections. Answer questions regarding your vision and provide visual field results.
7. Ensure that you have all required lab reports ready for submission as indicated in the Serology section.
8. Finally, have a licensed physician complete their part of the form by providing their name, license number, signature, and date.

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