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GHSA Medical Eligibility Form
Bring a blank copy of this form to your appointment. Your doctor will complete this form and return it to you.
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GHSA Preparticipation Physical Evaluation (English)
Revised March 2023
Please fill out this form and bring it with you to your appointment.
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GHSA Evaluación Física Previa A La Participación (Espańol)
Revised March 2023
Por favor, complete este formulario y tráigalo con usted a su cita.
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EHS Consent Form
This form needs to be filled out and brought to your appointment if you have scheduled a physical with the Effingham Health System.
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GHSA Physical Examination Form
Bring a blank copy of this form to your appointment. Your doctor will complete this form and return it to you.
Last Modified on March 24, 2023
