| Document Date: 2011-10-20 13:43:01
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IndustryTerm protective equipment / food / / MedicalCondition Allergies / Headaches / Headache / seizures / fainting / unconsciousness / Chronic / unexplained fainting / Tetanus / Herpes / Diabetes / hernia / Any illness / high cholesterol / pain / Numbness / Knee injury / injury / Marfan Syndrome / Severe muscle cramps / recurrent illness / Epilepsy / infection / High blood pressure / dizziness / Mononucleosis / memory loss / illness / frequent headaches / Meningitis / Influenza / Injuries / Neck injury / serious joint injury / Head injury / Asthma / / MedicalTreatment chiropractic / vaccination / Surgery / first aid / physical therapy / / Organization Iowa Medical Society / Athletic Union / Committee on Sports Medicine / Athletic Association / Iowa Department of Education / / Person OR GUARDIAN / / Position Date Family Physician / registered nurse / Athlete / physician / licensed physician and surgeon / osteopathic physician and surgeon / representative / assistant / superintendent / / ProvinceOrState Iowa / / Technology Sports Medicine / MRI / /
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Form E IOWA ATHLETIC PRE-PARTICIPATION PHYSICAL EXAMINATION ARTICLE VII[removed]PHYSICAL EXAMINATION. Every year each student (grades[removed]shall present to the student’s superintendent a certificate signed by a