Get the free NCAA Extended Health History Form Page 1

NCAA Extended Health History Form Page 1 THIS FORM WILL BE KEPT CONFIDENTIAL and will be used as a source of supplementary information by examining physicians and athletic trainers. Name: Birth Date:

How to fill out ncaa extended health history

How to fill out NCAA extended health history:

1. Start by gathering all necessary information, such as personal details, medical history, and contact information of your healthcare provider.
2. Access the NCAA extended health history form, either through your school's athletics department or the NCAA official website.
3. Begin by filling out the personal information section, including your name, date of birth, height, weight, and contact details.
4. Move on to the medical history section, where you will be required to provide information about any past injuries, surgeries, illnesses, or chronic conditions you may have had.
5. Make sure to accurately disclose any medications you are currently taking, including dosage and frequency.
6. If applicable, disclose any allergies or adverse reactions to medications, environmental factors, or food.
7. Include details about your family medical history, such as any hereditary conditions or diseases that run in your family.
8. Answer questions related to vaccinations and immunizations, ensuring that all required vaccines are up to date.
9. Complete the section about your contact healthcare provider, providing their name, phone number, and any additional information necessary.
10. Review all the provided information carefully to ensure its accuracy and completeness.
11. Sign and date the form to certify that the information given is true and accurate to the best of your knowledge.

Who needs NCAA extended health history:

1. NCAA student-athletes: The NCAA extended health history is typically required for all student-athletes participating in collegiate sports to assess their overall health, potential risks, and ensure appropriate medical care during their athletic career.
2. Coaches and athletic trainers: The extended health history allows coaches and athletic trainers to have a comprehensive understanding of the student-athletes' medical background, helping them make informed decisions regarding training, injury prevention, and appropriate medical treatment.
3. Medical professionals: Healthcare providers and medical staff involved in the care of NCAA student-athletes require the extended health history to have a complete picture of their patients' health and address any specific concerns or requirements.
4. Compliance officers: NCAA compliance officers oversee the adherence of student-athletes to the organization's health and safety regulations, including the submission of required medical forms like the extended health history.

For pdfFiller’s FAQs

What is ncaa extended health history?

NCAA extended health history is a form that collects detailed health information of student-athletes participating in NCAA sports.

Who is required to file ncaa extended health history?

All student-athletes participating in NCAA sports are required to file NCAA extended health history.

How to fill out ncaa extended health history?

Student-athletes can fill out NCAA extended health history by providing accurate and detailed information about their medical history, medications, allergies, and any previous injuries.

What is the purpose of ncaa extended health history?

The purpose of NCAA extended health history is to ensure the safety and well-being of student-athletes by providing medical professionals with essential health information in case of emergencies.

What information must be reported on ncaa extended health history?

Student-athletes must report their medical history, current medications, allergies, previous injuries, and any ongoing medical conditions on NCAA extended health history.

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