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1. Patient Information: Basic demographic data, contact information, and identification details of the person being evaluated
2. Consent Declaration: Written confirmation of informed consent for the physical evaluation and data collection
3. Medical History Summary: Brief overview of relevant medical history, current medications, and existing conditions
4. Vital Signs: Recording of basic vital measurements including blood pressure, heart rate, respiratory rate, and temperature
5. Physical Measurements: Standard body measurements including height, weight, BMI, and circumference measurements as relevant
6. General Appearance Assessment: Documentation of overall physical appearance, posture, and general condition
7. Systematic Body Assessment: Structured evaluation of major body systems and regions with specific findings
8. Assessment Summary: Overall evaluation findings and general body condition summary
9. Evaluator Information: Name, credentials, and contact information of the healthcare professional conducting the evaluation
10. Date and Certification: Date of evaluation and professional certification of accuracy of the recorded information
1. Fitness Assessment: Additional section for evaluating physical fitness parameters when required for athletic or occupational purposes
2. Range of Motion Analysis: Detailed joint mobility assessment section used when evaluating specific physical capabilities or limitations
3. Injury Documentation: Specific section for documenting and describing existing injuries or areas of concern
4. Functional Movement Screen: Section for assessing movement patterns and functional capabilities when relevant to evaluation purpose
5. Photographs: Section for including and describing any photographic documentation, when permitted and necessary
6. Special Tests: Documentation of any specific clinical tests performed based on evaluation requirements
1. Appendix A: Measurement Reference Charts: Standard reference charts for body measurements and normal ranges
2. Appendix B: Body Diagram Ƶ: Anatomical diagrams for marking specific findings or observations
3. Appendix C: Assessment Scoring Criteria: Standardized criteria and scoring systems used in the evaluation
4. Appendix D: Follow-up Recommendations: Template for documenting recommended follow-up actions or assessments
5. Schedule 1: Privacy Notice: Detailed information about how personal health information will be collected, used, and protected
6. Schedule 2: Consent Forms: Comprehensive consent documentation including specific permissions and limitations
Healthcare
Sports and Athletics
Occupational Health and Safety
Insurance
Corporate Wellness
Rehabilitation Services
Fitness and Personal Training
Medical Research
Workers Compensation
Legal and Compliance
Medical Affairs
Occupational Health
Clinical Operations
Sports Medicine
Physical Therapy
Health and Safety
Legal and Compliance
Quality Assurance
Research and Development
Human Resources
Insurance Claims
Wellness Programs
Physician
Nurse Practitioner
Physical Therapist
Occupational Health Nurse
Sports Medicine Specialist
Athletic Trainer
Physiotherapist
Medical Examiner
Occupational Therapist
Fitness Assessment Specialist
Healthcare Administrator
Clinical Research Coordinator
Insurance Medical Examiner
Corporate Health Officer
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