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P reparticipation Physical Evaluation. HISTORY FORM. (Note: This form is to be filled out by the patient and parent prior to seeing the physician. The physician A CURRENT-YEAR PHYSICAL IS ONE GIVEN ON OR AFTER APRIL 15 OF THE PREVIOUS . PHYSICAL EXAM & CLEARANCE & CONSENT FORMS. This MEDICAL HISTORY FORM must be completed annually by parent (or 2, 3, 4, 5, or 6 requires further medical evaluation which may include a physical P reparticipation Physical Evaluation. HISTORY FORM. (Note: This form is to be filled out by the patient and parent prior to seeing the physician. The physician NORTH CAROLINA HIGH SCHOOL ATHLETIC ASSOCIATION. SPORT PREPARTICIPATION EXAMINATION FORM. Patient's Name: City/State. HISTORY FORM. Medicines and Allergies: Please list all of the . PHYSICAL EXAMINATION FORM. Name. Last. First. Middle. EXAMINATION. Height. Please take the time to read and answer all questions before seeing a physician for the athlete's physical examination. 1. Has anyone in the athlete's family Preparticipation Physical Evaluation. HISTORY FORM. (Note: This form is to be filled out by the patient and parent prior to seeing the physician. The physician
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