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KHS AA Form MS01 Middle School Parent Permission and Consent Rev. 4/1/5, page 1 of 2 KHS AA, 2015 Athletic Participation/Physical Examination Form Parental and Student Consent and Release For Middle
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How to fill out athleticparticipationphysicalexaminationform khsaa form

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How to fill out the athletic participation physical examination form (KHSAA form):
01
Start by obtaining a copy of the athletic participation physical examination form (KHSAA form). This form is typically provided by the Kentucky High School Athletic Association (KHSAA) or your school's athletic department.
02
Gather all the necessary information and documents before filling out the form. This may include your personal information, medical history, previous injuries, and any medications you are currently taking.
03
Begin by filling out your personal information accurately. This includes your full name, date of birth, gender, address, phone number, and emergency contact information.
04
The next section of the form usually requires you to provide your medical history. Answer the questions truthfully, including any previous injuries, surgeries, or medical conditions you have had. If you are unsure about certain details, consult with your healthcare provider for accurate information.
05
If you are currently taking any medications, list them in the designated section of the form. Include the name of the medication, dosage, frequency, and the reason for taking it. It is important to disclose this information so that your medical provider can have a complete understanding of your health.
06
The KHSAA form typically includes a section where you will need to answer various questions related to your physical activity and sports participation. Answer the questions honestly and to the best of your ability.
07
Next, there is usually a section for your healthcare provider to complete. Schedule an appointment with your healthcare provider to conduct a physical examination. The provider will assess your overall health, perform any necessary tests, and fill out the relevant sections of the form, such as documenting your height, weight, blood pressure, and any specific clearance for sports participation.
08
Make sure your healthcare provider signs and dates the form, as their signature verifies that they have conducted the examination and reviewed your medical history.
09
Once all the required information has been filled out and the form has been completed and signed by both you and your healthcare provider, submit the form to the appropriate party, such as your school's athletic department or the KHSAA.

Who needs the athletic participation physical examination form (KHSAA form)?

The athletic participation physical examination form is typically required for students who plan to participate in organized sports activities within the Kentucky High School Athletic Association (KHSAA). This form helps ensure the safety and well-being of student-athletes by providing important information about their medical history, current health status, and ability to participate in physical activities. Students who wish to compete in KHSAA-sanctioned sports events are often required to complete this form annually or before each sports season to ensure they are physically fit for participation. It is best to check with your school or the KHSAA for specific requirements regarding the form's necessity.
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The athletic participation physical examination form KHSAA is a form used to document a student athlete's physical health and readiness to participate in sports.
Student athletes are required to file the athletic participation physical examination form KHSAA.
The athletic participation physical examination form KHSAA should be filled out by a qualified healthcare provider after conducting a thorough physical examination of the student athlete.
The purpose of the athletic participation physical examination form KHSAA is to ensure that student athletes are in good physical health and are fit to participate in sports activities.
The athletic participation physical examination form KHSAA typically includes information such as medical history, physical exam findings, and clearance for sports participation.
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