PRE PARTICIPATION PHYSICAL FORM MEDICAL HISTORY FORM …
MRI, CT, surgery, injections, rehabilitation, physical therapy, a brace, a cast, or crutches? If yes, circle below Head Neck Shoulder Upper arm Elbow Forearm Hand/ Fingers Chest Upper back Lower back Hip Thigh Knee Calf/ Shin Ankle Foot/ Toes 20 Have you ever had a stress fracture? 21 Have you been told that you have or have you had an x-ray for atlantoaxial (neck) instability? 22 Do you regularly use a … ................
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