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Physician / Physical examination / Nurse practitioner / Nursing / Chiropractic / Athletic heart syndrome / Health / Medicine / Health sciences


Pre Phy Eval Frm revsd[removed]
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Document Date: 2010-07-08 18:21:01

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File Size: 314,51 KB

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Company

BP / /

Facility

University Interscholastic League / /

IndustryTerm

corrective equipment / protective equipment / food / /

MedicalCondition

medical illness / severe headaches / blisters / Marfan's syndrome / allergies / hypertrophic cardiomyopathy / Brugada syndrome / cardiomyopathy / acne / chest pain / warts / severe viral infection / such illness / strain / enlarged heart / arachnodactyly / sickness / pectus excavatum / itching / seizure / seasonal allergies / numbness / high cholesterol / pain / joint hypermobility / injury / sickle cell disease / high blood pressure / sickle cell trait / mononucleosis / illness / myocarditis / scoliosis / head injury / asthma / long QT syndrome / /

MedicalTreatment

Chiropractic / surgery / /

Organization

Grade_______________________________________ School / DURING OR AFTER SCHOOL / Board of Nurse Examiners / State Board of Physician Assistant Examiners / University Interscholastic League / /

Person

Neck Back / /

Position

hospital representative / physician / physician assistant / Physician / a Physician Assistant / Personal Physician / Registered Nurse / athlete / nurse / physician / representative / chiropractor / or nurse practitioner / Advanced Practice Nurse / physician assistant / chiropractor / Head / /

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