Have Medical Questions? Ask a Doctor Online!
Hello this is Dr. Salama MD,
It would depend the form.
Can you upload a picture of it here?
Thanks for attaching it.
Filling out this form would require a physical examination along with vital signs and potential labs and imaging.
Let me know if you have any other questions.
If not, please don't forget to leave a positive rating (bonus appreciated) as that's the only way I get credit for answering your question.
Unfortunately not without a physical exam.
I would get in to see a doctor as soon as you can and he/she should be able to fill it out.
No, I don't believe it can be done online since it is requiring a direct interaction with a physician who examines you.
No, I would not go to the emergency room for this.
An urgent care might do it though.
If you are healthy then they will likely not need to do any other exams.
Please don't forget to leave a rating, thanks.