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LEBANON VALLEY COLLEGE ATHLETIC CLEARANCE/MEDICAL HISTORY FORM The information contained in this medical history form will only be used by the Sports Medicine Department of Lebanon Valley College for purposes of determining if you pose a health threat / risk to yourself on the athletic field. This information will remain CONFIDENTIAL at all times. Please print clearly in BLUE or BLACK INK ONLY Name Date Cell Phone Sport s Eligibility Status FR SO JR SR 5th Yr Anticipated year of Graduation 1....
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How to fill out athletic clearence form

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How to fill out athletic clearance?

01
Obtain the necessary forms from your school's athletic department or website.
02
Complete personal information such as name, address, and contact details.
03
Provide medical information including any pre-existing conditions or allergies.
04
Obtain a physical examination from a licensed healthcare provider.
05
Submit the completed forms and physical examination record to the athletic department.

Who needs athletic clearance?

01
Student-athletes who intend to participate in school sports.
02
Those who have been cleared to participate in sports activities by a licensed healthcare provider.
03
Individuals who have completed and submitted the required athletic clearance forms.

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All right to go ahead and register your student for Southland Christian sports you're going to need to go to our school website, and after you go to our school website you're going to go ahead and go to another link, so we'll just go ahead and type out that school website right now it's South lands athletics comm and that will lead us to our school sports website, and we'll go to the link parents on the far right and right below that is the athletic clearance link we'll go ahead and click that which will send us to the athletic clearance comm website and from there all you have to do is click on the register button and that will start the process and anyone that has any questions on what to do you can just watch this athletics clearance guide, and it will give you all the steps on how to register your student welcome to athletic clearance comm this is where you will be able to fill out all of your registration data for your student that will be participating in athletic sports or activities in order to get started you have to click on this register button to start an account when you click on register you'll see that the video gets replaced with a register option right here will input our first name our last name our email address confirm our email address and then put a custom password that is just for our use only and click Submit next it's going to ask you to enter this code in the box below to activate your account if you do not input this code then you will not be able to start your clearance process so let's type in the code that we see here and click Submit and to start your clearance click on the new clearance button right here next we're going to choose our year of the sports that we're competing in, and we're going to choose the school as well if you don't see your school in our list make sure that you're choosing the appropriate year sometimes it can be confusing when you're registering during the spring because you're actually going to be registering for the upcoming school year then you choose the sport that you're going to be registering for, and then we're going to click Submit and here we're going to see the five-step process that we have for filling out the information step one is going to be filling out information about our student if we already have a student that we fill that on our account we can use that to pre-fill the information you can see how all if the information gets filled out here except for is a student covered by insurance because that must be renewed every year if they are not then you can mention that you'd like to purchase the insurance through the school, and they can provide you with a link to purchase that if it's yes then you can input the insurance company and the insurance number under education history you can choose if the students always attend the school or if the student is entering the ninth grade or other if it's other the student might be coming from a different school and if that's the case...

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Athletic clearance refers to the process by which student-athletes are medically cleared to participate in sports activities. It typically includes a series of medical evaluations and paperwork to ensure that the athlete is physically fit and healthy to engage in athletic competition. This process is important to minimize the risk of injury and ensure the safety of the athletes. The specific requirements for athletic clearance may vary depending on the school, sport, and country.
Athletic clearance is typically required for high school or college athletes who want to participate in organized sports. The specific guidelines for who must file athletic clearance may vary depending on the educational institution, sports league, or governing body. It is best to check with the respective school or sports organization for their specific requirements.
To fill out an athletic clearance form, follow these steps: 1. Obtain the athletic clearance form: Get the form from your school's athletic department or download it from their website. 2. Read the instructions: Read the form's instructions carefully to understand the required information and the process. 3. Personal information: Provide your personal details, including your name, address, phone number, date of birth, and emergency contact information. 4. Medical history: Fill in the medical history section, providing information about any previous injuries, surgeries, allergies, or medical conditions you have or have had. You may need to provide any ongoing medication details as well. 5. Physical examination: If required, schedule a physical examination with your healthcare provider. Once done, include the date of the examination and the healthcare provider's contact information in the appropriate section of the form. 6. Insurance information: Enter your insurance details, including the name of the insurance company, policy number, and policyholder's name. You may need to attach a photocopy of your insurance card. 7. Parent or guardian signature: If you are under 18, have your parent or guardian read the form and sign it to provide consent for your participation in sports. 8. Student signature: If applicable, sign the form to indicate that you have truthfully provided all the required information. 9. Complete any additional sections: Some athletic clearance forms may have additional sections requiring information such as academic eligibility or code of conduct. Fill out those sections as instructed. 10. Double-check the form: Before submitting the form, review it to ensure all the information is accurate and nothing is missed. 11. Submit the form: Return the completed form to the designated person or office designated by your school's athletic department. This may involve submitting it in person, mailing it, or submitting it electronically, depending on your school's procedure. Remember to keep a copy of the completed form for your records. In some cases, you may also need to submit additional documents, such as a copy of your physical examination report or academic transcripts.
The purpose of athletic clearance is to ensure the health and safety of athletes participating in sports. It involves a comprehensive evaluation of an athlete's medical history, physical abilities, and overall fitness level to determine if they are physically capable of participating in sports activities. This process typically includes medical examinations, fitness tests, and screenings for any existing medical conditions or injuries that may put the athlete at risk. By conducting athletic clearance, schools or sports organizations can help reduce the likelihood of injuries and provide appropriate medical attention or interventions if necessary. Additionally, it helps ensure fair competition by confirming that athletes meet the physical requirements and skill levels necessary for specific sports.
The specific information that must be reported on athletic clearance can vary depending on the organization or institution. However, generally, the following information is commonly required: 1. Personal Information: This includes the athlete's full name, date of birth, address, contact information, and emergency contacts. 2. Medical History: The athlete's medical history is important to assess any prior injuries, illnesses, or medical conditions that may affect their participation in athletics. This includes information on surgeries, chronic illnesses, allergies, medications, and any known medical restrictions. 3. Physical Examination: A thorough physical examination by a qualified healthcare professional is usually required to identify any existing medical conditions that may make the athlete unfit to participate in sports. 4. Immunization Records: Documentation of up-to-date immunizations may be necessary to ensure the athlete is protected against communicable diseases. 5. Concussion Baseline Testing: Some organizations may require baseline testing for concussions to establish pre-injury cognitive and physical abilities for comparison in case of any head injuries. 6. Parental/Guardian Consent: Parental or guardian consent is often required for athletes under 18 years of age, allowing them to participate in the sports program. This may involve signing a consent form or completing an online consent process. 7. Insurance Information: Information about the athlete's health insurance policy may be requested to ensure appropriate coverage in case of any sports-related injuries. It is important to note that this information is general in nature and may vary based on the specific requirements of the athletic organization or institution. It is always advisable to consult the specific guidelines or forms provided by the organization to ensure accurate reporting.
The penalty for the late filing of athletic clearance can vary depending on the policies and regulations of the specific athletic association or organization involved. In some cases, the penalty may result in the athlete being temporarily ineligible to participate in athletic events until the clearance is filed. Additionally, there may be fines, disciplinary actions, or other consequences imposed by the association or organization, such as suspension from future competitions. It is best to consult the specific rules and regulations of the relevant athletic association or organization to understand the exact penalties for late filing of athletic clearance.
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