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STATE OF RHODE ISLAND SCHOOL PHYSICAL FORM

www.health.ri.gov

STATE OF RHODE ISLAND SCHOOL PHYSICAL FORM This form may substitute for any district-issued form. All districts must accept this form. General health examinations shall be documented in a standardized format

  Form, Physical, Islands, Rhode island, Rhode, Physical form

NDHSAA Physical Form Approved 2019

ndhsaa.com

11. Do you use any special devices for bowel or bladder function? 12. Do you have burning or discomfort when urinating? 13. Have you had autonomic dysreflexia? 14. Have you ever been diagnosed as having a heat-related (hyperthermia) or cold-related (hypothermia) illness? 15. Do you have muscle spasticity? 16.

  Form, Physical, Functions, Below, Bladder, Physical form, Bladder function

Physical Form - cms-files.tssaa.org

cms-files.tssaa.org

PREPARTICIPATION PHYSICAL EVALUATION HISTORY FORM Note: Complete and sign this form (with your parents if younger than 18) before your appointment. Name: Date of examination: Sex assigned at birth (F, M, or intersex): List past and current medical conditions. Date of birth: Sport(s): How do you identify your gender? (F, M, or other):

  Form, Evaluation, Physical, History, Physical form, Physical evaluation history form

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