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University of Hawai i at Hilo Pre-Participation Physical Screening Student Athlete Complete only the top two lines Name D. I hereby authorize UH Hilo Department of Intercollegiate Athletics Sports Medicine Staff and/or my coach to hospitalize and secure treatment for me for any athletic injury/illness that may become necessary while participating in or travelling under the UH Hilo s Intercollegiate Athletic Program. Age Parent/Guardian s Signature If student is under the 18 years of age. O....
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How to fill out pre-participation physical screening

How to fill out pre-participation physical screening:
01
Obtain the necessary forms: Contact your school, athletic organization, or healthcare provider to obtain the pre-participation physical screening forms. These forms may vary, so make sure you have the correct ones for your specific purpose.
02
Read the instructions: Take the time to carefully read through the instructions provided with the forms. These instructions will guide you on how to accurately fill out the screening.
03
Gather necessary information: Before you begin filling out the screening, gather any necessary information you may need. This may include your personal and medical history, any known allergies, current medications, and family medical history.
04
Fill out personal information: Start by filling out the personal information section of the screening form. This typically includes your name, date of birth, address, emergency contact information, and insurance details if required.
05
Medical history: In the medical history section, provide information about any previous medical conditions or injuries you may have had. List any surgeries, hospitalizations, or chronic illnesses you have experienced.
06
Current medications: If you are currently taking any medications, make sure to include them in the screening form. Provide details about the dosage, frequency, and the reason for taking each medication.
07
Allergies: If you have any known allergies, whether they are related to medications or other substances, list them in the screening form. It is important to include both drug and non-drug allergies.
08
Family medical history: Some screening forms may ask for your family's medical history. Provide information regarding any hereditary conditions or diseases that may be present in your immediate family. This can offer insights to healthcare providers when assessing your health.
09
Physical examination: You may be required to undergo a physical examination as part of the pre-participation screening. Schedule an appointment with a healthcare provider to perform the necessary exams, such as measuring height, weight, blood pressure, and assessing heart and lung function.
10
Review and submit: Once you have completed filling out all the sections of the screening form, carefully review the information you provided. Make sure all the information is accurate and complete. If any sections are unclear or require further explanation, don't hesitate to ask for assistance. Finally, submit the completed form to the designated recipient, whether it is your school, athletic organization, or healthcare provider.
Who needs pre-participation physical screening?
01
Student-athletes: Most schools and athletic organizations require pre-participation physical screening before allowing students to participate in sports activities. These screenings help identify any underlying health conditions that may put the student at risk during physical activity.
02
Professional athletes: Professional sports teams often require their athletes to undergo pre-participation physical screenings to ensure they are in optimal health before joining the team. This helps minimize the risk of injuries and identify any health issues that may affect performance.
03
Recreational athletes: While not always mandatory, recreational athletes, such as those participating in community sports leagues or gym activities, can benefit from pre-participation physical screenings. These screenings can help identify any potential health concerns and provide recommendations for safe and effective participation in physical activities.
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What is pre-participation physical screening?
Pre-participation physical screening is a process to evaluate an individual's physical health and readiness to participate in a certain activity or sports.
Who is required to file pre-participation physical screening?
Athletes, students, or participants in organized sports or physical activities are usually required to file pre-participation physical screening.
How to fill out pre-participation physical screening?
Pre-participation physical screening forms are typically provided by the school, sports organization, or healthcare provider and should be completed by the individual or their guardian with accurate health information.
What is the purpose of pre-participation physical screening?
The purpose of pre-participation physical screening is to ensure the safety and well-being of individuals participating in physical activities by identifying any underlying health concerns or conditions.
What information must be reported on pre-participation physical screening?
Information such as medical history, current medications, allergies, previous injuries, family history of medical conditions, and physical examination findings must be reported on pre-participation physical screening.
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