טופס שאלון רפואי – מכון 1 – ENGLISH להורדה, הדפסה ומילוי מקוון

Form Name: Medical Examination Form for Athletes - Form 1

Summary:
The provided text is an excerpt from a medical examination form for athletes, titled "Medical Examination Form for Athletes - Form 1." The form aims to collect comprehensive medical information from athletes for the purpose of assessing their fitness for sports activities. The form includes personal details, team information, a medical questionnaire, and a declaration to be signed by the examinee or their parent/guardian (if under 18). The questions in the medical questionnaire inquire about the examinee's medical history, hospitalizations, surgeries, chronic conditions, allergies, cardiac issues, injuries, and other health-related matters.

Required Sections for Completion:
1. Personal Information: First name, last name, address, city, phone, ID, year of birth, weight, height, and sex.
2. Team Information: Name of the team and sport.
3. Declaration: A statement of accuracy and permission for the form's transfer to relevant parties, followed by the examinee's signature and the parent/guardian's signature (if applicable).
4. Medical Questionnaire: A series of yes/no questions regarding the examinee's medical history, hospitalizations, surgeries, chronic conditions, allergies, cardiac issues, injuries, and other health-related matters.
- Questions 1-27 cover various medical conditions, diseases, and incidents, including hospitalizations, surgeries, asthma, medication, allergies, fainting, chest pain, fatigue, elevated blood pressure, dizziness, heart murmurs, skin disorders, head trauma, concussions, headaches, menstrual cycle (for females), and additional explanations.

Purpose:
The purpose of the form is to gather accurate and comprehensive medical information from athletes in order to assess their physical fitness and suitability for sports participation. The information collected in the form assists medical professionals in evaluating potential risks and ensuring the safety of athletes during their sports activities.

Please note that the provided summary is based solely on the content you provided, without the need for external links or references.