Get the free Pre-participation physical form - Crown Point Community

PARTICIPATION PHYSICAL EVALUATION FOR COLONEL JOHN WHEELER MIDDLE SCHOOL (BASED ON IH SAA FORM) Name Date Address Phone Sex: M F Date of Birth Grade Personal Physician Phone Previous School Attended

How to fill out pre-participation physical form

How to fill out a pre-participation physical form:

1. Gather the necessary information: Before starting the form, gather any required documents or information you may need, such as medical history, insurance information, and emergency contact details.
2. Personal Information: Start by providing your personal information, including your full name, date of birth, address, and phone number.
3. Medical History: Fill out the medical history section carefully, providing accurate and up-to-date information regarding any past illnesses, injuries, surgeries, or chronic conditions you have experienced. Be sure to include information about any medications you are currently taking or any known allergies.
4. Immunization Records: The form may require you to provide proof of immunizations or vaccinations. Make sure you have this information readily available, including dates and specific vaccines received.
5. Emergency Contact: Provide the name, phone number, and relationship of your emergency contact person. This individual should be someone who can be reached in case of an emergency or if any medical concerns arise during your participation.
6. Insurance Information: You may need to include details about your health insurance coverage, including the policy number and the name of the insurance company. If you have any special medical coverage, be sure to provide that information as well.
7. Signature and Consent: Carefully review the form before signing it, ensuring all information is accurate. By signing, you are giving consent for medical professionals to examine you and potentially share relevant medical information with team coaches or staff.

Who needs a pre-participation physical form?

1. Student-Athletes: Most commonly, pre-participation physical forms are needed by student-athletes who plan to participate in school sports. This ensures that they are physically fit and able to perform without risking their health.
2. Recreational Participants: Individuals who participate in recreational activities, such as fitness classes, dance classes, or community sports leagues, may also be required to complete a pre-participation physical form. This helps to ensure their safety and reduces the risk of injuries during physical activities.
3. Job Applicants: Certain job positions, particularly those involving physically demanding tasks or high-risk activities, may require applicants to undergo a pre-participation physical examination. This ensures that they are physically capable of performing the necessary duties and reduces the risk of workplace injuries.

For pdfFiller’s FAQs

What is pre-participation physical form?

Pre-participation physical form is a document that collects information about an individual's medical history and current health status in order to determine their eligibility to participate in a specific activity or sport.

Who is required to file pre-participation physical form?

Anyone who is looking to participate in a sports activity or event may be required to file a pre-participation physical form.

How to fill out pre-participation physical form?

The pre-participation physical form can usually be filled out by the individual or their parent/guardian, and it typically requires information about medical history, current health conditions, and contact information for a healthcare provider.

What is the purpose of pre-participation physical form?

The purpose of the pre-participation physical form is to ensure that individuals are healthy enough to participate in a specific activity or sport, and to identify any potential medical concerns that may require special attention.

What information must be reported on pre-participation physical form?

Typically, the pre-participation physical form will ask for information about medical history, current medications, allergies, injuries, surgeries, and any existing medical conditions.

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