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Get OK Conference Pre-Participation Physical Exam Form

BE COMPLETED BY EXAMINING MEDICAL PROFESSIONAL Name: Date: Ht:__________ Wt:___________ HR:___________ BP:___________ BP reck:___________ Corrective Lenses: Y or N Vision: R________ L________ Physical Exam General Appearance HEENT Lymph Nodes Heart Pulses Lungs Abdomen Skin Neurologic Spine Upper Extremity Lower Extremity Joint Specific (optional) Hernia (males only) Normal Parent/Legal Guardian Name(s):_______________________________________________________ Address:_________________________.

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