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ATHLETIC PHYSICAL EXAMINATION FORM Peter Region Cooperative School District (Cooperative Middle School and Peter High School) Name: Sex: Birthdate: / / Grade: Address: Telephone: Sport: PAST MEDICAL
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How to fill out athletic physical examination form

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01
Start by obtaining the athletic physical examination form from your school or sports organization. It is usually provided to athletes before participating in any sports activities.
02
Make sure to read the instructions on the form carefully. The form may require certain information such as your personal details, medical history, and consent for medical treatment.
03
Begin by filling out your personal information, including your full name, date of birth, address, and contact details. Provide accurate and up-to-date information.
04
Next, you may be required to provide information about your medical history. This could include any past illnesses, injuries, surgeries, or chronic conditions. Be thorough and honest when providing this information as it helps medical professionals in assessing your health.
05
If applicable, indicate any allergies or medications you may be currently taking. This is crucial for the medical team to be aware of any potential risks or complications.
06
Some forms may require you to answer specific health-related questions such as whether you have ever experienced chest pain, shortness of breath, or dizziness during physical activity. Answer these questions honestly.
07
Parents or legal guardians may need to provide consent for medical treatment in case of an emergency. Ensure that the necessary fields are properly filled out and signed.
08
In some cases, the form may require a healthcare provider's signature or stamp. This indicates that you have undergone a medical examination and are cleared to participate in sports activities. Make sure to schedule an appointment with your healthcare professional if this is required.
09
Finally, review the form for any errors or missing information before submitting it. It is essential to ensure the form is accurate and complete.

Who needs an athletic physical examination form?

01
Student-athletes: Most schools and sports organizations require student-athletes to undergo a physical examination before allowing them to participate in sports. This helps ensure the athlete is physically fit and able to safely engage in physical activities.
02
Professional athletes: Before joining or competing in professional sports leagues, athletes often need to provide medical clearance through a physical examination. This is crucial in maintaining the overall health and well-being of the athletes.
03
Recreational athletes: Although not always mandatory, recreational athletes may opt to undergo a physical examination before engaging in high-intensity physical activities. This can help identify any underlying health issues and ensure their safety during exercise or sports participation.
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