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The Sullivan Medical Office Weekend Clinic 2015-2016

The Sullivan Medical Office Weekend Clinic 2015-2016-2025

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The Sullivan Medical Office Weekend Clinic is offering sports physicals for the 2015-2016 school year on weekends in June and July. The physicals are walk-in only, cost $20, and require a completed MSHSAA physical form. Athletes under 18 must be accompanied by a parent or guardian. The document also includes detailed pre-participation evaluation forms, medical history questions, and guidelines for concussion awareness and management.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the 'Date of Exam' at the top of the form. This is essential for tracking your physical evaluation.
Fill in personal details such as 'Name', 'Date of Birth', 'Sex', 'Age', and 'Grade'. Ensure accuracy as this information is crucial for identification.
List the 'Sport(s)' you are participating in, along with any current medications and allergies. This helps healthcare providers assess your health risks.
Answer all general and medical questions honestly. Circle any questions you do not know the answer to, and provide explanations for any 'Yes' answers in the designated area.
Complete the physical examination section with your physician during your appointment. They will document findings and provide clearance status.
Finally, ensure both athlete and parent/guardian sign where indicated, confirming that all information is complete and accurate before submission.

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