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UNIVERSITY OF ALABAMA AT BIRMINGHAM ATHLETIC TRAINING DEPARTMENT PHYSICAL EXAMINATION: PARTICIPATION EVALUATION DEMOGRAPHICS Name: Date: Sport: Birth Date: Year: Home Address: Phone: Campus Address:
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How to fill out physical examination preparticipation evaluation

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How to fill out physical examination preparticipation evaluation:

01
Obtain the form: The first step is to obtain the physical examination preparticipation evaluation form. This form can usually be found online on the official website of the organization or institution requiring the evaluation.
02
Provide personal information: Fill in the personal information section of the form. This typically includes your full name, date of birth, contact information, and any relevant identification numbers.
03
Medical history: Provide accurate details about your medical history. Include any previous illnesses, injuries, surgeries, or chronic conditions that may affect your participation in physical activities.
04
Medications: List all medications you are currently taking, including dosage and frequency. This is important for the evaluating healthcare professional to understand any potential side effects or interactions with physical activity.
05
Allergies: Include any known allergies or adverse reactions to medications, foods, or environmental factors. This is crucial information to ensure your safety during physical activities.
06
Immunizations: Indicate whether you are up to date with your immunizations. This is often required to participate in certain activities, especially in communal or group settings.
07
Physical examination: Schedule an appointment with a qualified healthcare professional to conduct a physical examination. They will assess your overall health, review your medical history, perform necessary tests, and provide clearance for participation based on their findings.
08
Signature: Once all the required information has been filled out and the physical examination has been completed, sign and date the form to confirm that the provided details are accurate to the best of your knowledge.

Who needs physical examination preparticipation evaluation?

01
Athletes: Physical examination preparticipation evaluation is commonly required for athletes before participating in organized sports activities. This ensures that they are in good health and able to safely engage in physical exertion.
02
Students: Some educational institutions, particularly those with physical education or sports programs, may mandate a physical examination preparticipation evaluation to ensure the health and safety of students during physical activities.
03
Military personnel: Military organizations often require physical examination preparticipation evaluations to assess the fitness and suitability of individuals for military training and service.
04
Job applicants: Certain professions or job positions, especially those involving physically demanding tasks or exposure to occupational hazards, may require candidates to undergo a physical examination preparticipation evaluation.
05
Recreational activity participants: Some recreational activities, such as adventure sports or high-intensity fitness programs, may require participants to undergo a physical examination preparticipation evaluation to minimize the risk of injuries or health complications.
Overall, the physical examination preparticipation evaluation helps to ensure the safety and well-being of individuals engaging in physical activities, whether it be in a sports, academic, professional, or recreational setting.
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Physical examination preparticipation evaluation is a comprehensive assessment of an individual's health and physical capabilities before participating in certain activities or events.
Individuals who are planning to participate in specific activities or events, such as sports competitions or certain jobs, are required to file a physical examination preparticipation evaluation.
Physical examination preparticipation evaluation forms can typically be filled out by a healthcare provider, such as a doctor or nurse, who will assess the individual's health and physical condition.
The purpose of physical examination preparticipation evaluation is to ensure that individuals are healthy enough to safely participate in certain activities and to identify any potential health risks or issues that may need to be addressed before participation.
Physical examination preparticipation evaluation forms usually include information about the individual's medical history, current health status, any medications they may be taking, and any known health conditions or allergies.
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