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Heat illness / Physical examination / Physical exercise / Pain / Dental braces / Medicine / Health / Emergency medicine


PREPARTICIPATION HISTORY AND PHYSICAL EXAMINATION This form is not required as long as the conditions of[removed]are met.
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Document Date: 2013-07-22 15:24:10


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MedicalCondition

frequent severe headaches / knee injury / injury / heart attack / acne / chest pain / seizures / severe dizziness / fainting / recurrent illness / last tetanus / heat stroke / dizziness / illness/injury / illness / ANY allergies / injuries / heat cramps / head injury / asthma / ankle injury / itching / /

MedicalTreatment

surgery / /

Position

physician / ATHLETE / /

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