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Download this history and physical form to gather comprehensive information about a. A printable medical history form template can give you a good idea about what’s included in the form. History and physical examination pdf. However, to give a head. Class iv a patient with an incapacitating systemic disease that is a constant threat to life. History and physical is a form used by medical doctors to collect information about a patient. Class v a moribund patient who is agonal, not. Printable history and physical form. Printable history and physical form.