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PIAA Comprehensive Initial Pre-Participation Physical Evaluation 2012 free printable template

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PISA COMPREHENSIVE INITIAL PRE-PARTICIPATION PHYSICAL EVALUATION INITIAL EVALUATION: Prior to any student participating in Practices, Inter-School Practices, Scrimmages, and/or Contests, at any PISA
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How to fill out PIAA Comprehensive Initial Pre-Participation Physical Evaluation

01
Obtain the PIAA Comprehensive Initial Pre-Participation Physical Evaluation form from your school or the PIAA website.
02
Fill out the personal information section, including the athlete's name, date of birth, and contact information.
03
Complete the medical history section by answering all questions regarding past injuries, illnesses, or medical conditions.
04
Have a parent or guardian review and sign the medical history section if the athlete is a minor.
05
Schedule an appointment with a licensed healthcare provider to complete the physical examination.
06
During the examination, provide the healthcare provider with the medical history and any relevant information.
07
Follow the healthcare provider's assessments and recommendations, including any additional tests if necessary.
08
Once the examination is complete, ensure that the provider fills out and signs the evaluation form.
09
Return the completed form to your school or designated athletic department before the deadline.

Who needs PIAA Comprehensive Initial Pre-Participation Physical Evaluation?

01
All student-athletes participating in PIAA-sanctioned sports.
02
Students entering high school who plan to participate in athletics.
03
Any athlete who is returning to sports after an extended absence due to injury or health concerns.

Instructions and Help about PIAA Comprehensive Initial Pre-Participation Physical Evaluation

Hello this is Patrick Morris head athletic trainer for Red Lion Area School District wanted to make this quick video covering some frequently asked questions that we have about the PISA physical each year the PISA requires each student to obtain a new physical either at your doctor's office or at our physicals that are offered at redline there is one accepted form for the PISA physical which can be found here at this link go ahead and click the annotation for that pretty long packet, so I'm going to go over each individual form so that you know which you need to fill out which you don't students page 1, section 1 of the P a double a physical is all your personal demographic information such as name grade address and emergency contacts your first emergency contact should be either your mom dad or current guardian your second emergency contact should be someone that doesn't necessarily live with you but is someone that we can contact if you are not available also there is insurance information and medical emergency information such as allergies asthma and current medications section 2 of the PIL a form contains several places for your parent or guardian to sign the first three boxes are fall winter and spring sports simply have your parent or guardian sign wherever you want to play so whether it's football in the fall basketball in the winter and track in the spring sign all those boxes if you're not real sure if you want to play football or something else, or you're going to try basketball and wrestling just have your parents sign both they can sign as many as they want just giving you their permission for you to try out for that sport there's also four different places to sign make sure that your parent or guardian signs all of those section 3 of the form is a new section added by the PA Double A to give you information about concussions and brain injury parent or guardian please read through this discuss it with your child and sign at the bottom as well as their signature section for the Iowa physical was put in 2013 please make sure you read through the information on sudden cardiac arrest and sign at the bottom along with your student-athlete students section 5 of the form is your past medical history this should be completed with your parent or guardian together it needs to be signed at the bottom both by the student and the parent or guardian it is very important that this is filled out as accurately as possible as we use this information when we are treating your child section 6 of the PISA form is for the doctor to fill out again you may use physicals that are provided at the school, or you may go to your family doctor the only thing is it is very important that you use this form in this form only to turn in to the athletic department section 7 of the form is the parental recertification form parent or guardian if your son or daughter plays more than one sport you must fill out section 7 prior to any subsequent sport for example if your...

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People Also Ask about

A student who has been absent from school during a semester for a period of 20 or more school days, shall not be eligible to participate in any athletic contest until he/she has been in attendance for a total of sixty school days following his twentieth day of absence.
Seniors are not permitted to participate at the junior varsity level.
The ejecting official must file the Supplemental Disqualification report within 24 hours on the player who must sit out the next two varsity contests. two different disqualifications. The choice will be made for them.
You must be enrolled in and in full-time attendance at a PIAA member school or a Charter or Cyber- Charter School, or be home-schooled. Generally, you are only eligible only at the school at which you are enrolled or, if a home-schooled student, at a public school in the public school district in which you reside.
The transfer part of the rule states that if a school receives six points in the previous classification cycle and accepts transfer students by sport and gender that are equal to or exceeds three for football or one for basketball, the school will move up one classification.

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The PIAA Comprehensive Initial Pre-Participation Physical Evaluation is a standardized medical examination designed for student athletes to assess their fitness and any potential health risks before they participate in sports.
Student athletes who wish to participate in PIAA-sanctioned sports are required to file the PIAA Comprehensive Initial Pre-Participation Physical Evaluation.
The PIAA Comprehensive Initial Pre-Participation Physical Evaluation form should be completed by a qualified healthcare provider and includes sections on medical history, physical examination findings, and clearance for participation in athletic activities.
The purpose of the PIAA Comprehensive Initial Pre-Participation Physical Evaluation is to ensure that student athletes are physically fit to participate in sports and to identify any pre-existing conditions that might pose a risk during athletic activities.
The information that must be reported includes the athlete's medical history, results of the physical examination, any findings of concern, and the healthcare provider's clearance for the athlete to participate in sports.
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