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Participation Physical Evaluation HISTORY FORM DATE OF EXAM Name Sex Age Date of birth Grade School Sport(s) Address Phone Personal physician In case of emergency, contact Name Relationship Phone
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What is preparticipation physical evaluation history?
The preparticipation physical evaluation history is a record of an individual's medical history and any previous injuries or conditions that may affect their participation in a specific activity or event.
Who is required to file preparticipation physical evaluation history?
Anyone who wishes to participate in a particular activity or event that requires a preparticipation physical evaluation is required to file their evaluation history.
How to fill out preparticipation physical evaluation history?
To fill out the preparticipation physical evaluation history, individuals must provide accurate information about their medical history, previous injuries, current medications, and any existing or past medical conditions. They may need to consult with healthcare professionals for specific details and recommendations.
What is the purpose of preparticipation physical evaluation history?
The purpose of preparticipation physical evaluation history is to assess an individual's overall health and fitness level, identify any potential risks or limitations, and determine their eligibility to participate in a specific activity or event. It helps ensure the safety and well-being of the participants.
What information must be reported on preparticipation physical evaluation history?
The preparticipation physical evaluation history typically requires individuals to report their personal information, such as name and contact details, as well as their medical history, including previous injuries, surgeries, allergies, current medications, and any existing or past medical conditions. Additional information may be required based on the specific requirements of the activity or event.
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