MEDICAL SCREENING FORM - bphysicaltherapydenverbbcomb 2026

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  1. Click ‘Get Form’ to open the MEDICAL SCREENING FORM in the editor.
  2. Begin by entering your name and age at the top of the form. This information is essential for your healthcare provider.
  3. In the General Health section, select your health status by checking one of the options: Excellent, Good, Fair, or Poor.
  4. Proceed to answer questions regarding any changes in your health over the past three months. For each question, mark 'Yes' or 'No' as applicable.
  5. List any prescription and over-the-counter medications you are currently taking in the designated fields.
  6. In the Present/Past Medical Conditions section, circle any conditions that apply to you. This helps provide a comprehensive view of your medical history.
  7. Finally, fill out details about your chief complaint and any secondary complaints, including severity ratings on a scale from 0 to 10.

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