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UT UHSAA Pre-Participation Health Examination Form 2010 free printable template

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Pre-Participation Physical Evaluation Health History Date of Exam Name Age Sex Date of Birth Grade School Sport(s) Address City State Phone Personal Physician In case of emergency, contact: Name Relationship
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How to fill out UT UHSAA Pre-Participation Health Examination Form

01
Obtain the UT UHSAA Pre-Participation Health Examination Form from the official website or school.
02
Fill out the personal information section including the athlete's name, date of birth, and school.
03
Complete the medical history section, providing details on any past injuries or medical conditions.
04
Schedule an appointment with a licensed healthcare provider for the physical examination.
05
During the appointment, the healthcare provider will assess the athlete's overall health and fitness.
06
After the examination, ensure the healthcare provider signs and dates the form.
07
Submit the completed form to the appropriate school or athletic department before the deadline.

Who needs UT UHSAA Pre-Participation Health Examination Form?

01
All students participating in interscholastic sports organized by the Utah High School Activities Association (UHSAA).
02
Any athlete who has not completed a Pre-Participation Health Examination Form for the current school year.
03
Students moving to a new school who plan to participate in sports.
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The UT UHSAA Pre-Participation Health Examination Form is a document required by the Utah High School Activities Association (UHSAA) that assesses the health and fitness of student-athletes before they participate in sports.
All student-athletes in grades 7-12 who wish to participate in interscholastic sports are required to file the UT UHSAA Pre-Participation Health Examination Form.
The form should be completed by providing personal information, medical history, and details of any past injuries. It also requires a physical examination by a licensed healthcare provider.
The purpose of the form is to ensure the safety of student-athletes by identifying any potential health issues that could affect their ability to participate in sports activities.
The form must report information including the student's medical history, any known allergies, previous injuries, current medications, and results from the physical examination conducted by a healthcare provider.
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