Get the free Athletic Physical Consent Form 4-2013 - nashua k12 mt
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FRANCES MASON DEACONESS HOSPITAL/GLASGOW CLINIC CONSENT FOR ATHLETIC PHYSICAL The undersigned, duly authorized Parent, Legal Guardian (circle one), does hereby give permission to Frances Mason Deaconess
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How to fill out athletic physical consent form
How to fill out an athletic physical consent form:
01
Obtain the form: Contact your school or sports organization to request an athletic physical consent form. It is usually provided at the beginning of the sports season or before participating in any athletic activities.
02
Read the instructions: Carefully review the instructions on the form. Make sure you understand what information needs to be provided and how to fill it out correctly.
03
Personal information: Begin by filling out your personal details, including your full name, date of birth, address, phone number, and emergency contact information. Provide accurate information to ensure proper identification and contact in case of any emergencies.
04
Medical history: Fill in the medical history section, which usually includes questions about any previous injuries, surgeries, or medical conditions. It is important to disclose any relevant information as it helps the medical professionals understand your health better.
05
Allergies and medications: Indicate any allergies you may have and list any medications you are currently taking. This information is crucial for the medical staff to be aware of in case of emergency situations or when providing treatment.
06
Insurance information: Provide your insurance details, including the policy number and the name of your insurance provider. This information ensures that any necessary medical expenses related to sports injuries can be covered by your insurance.
07
Parent or guardian signature: If you are below the age of 18, a parent or guardian will need to read and sign the consent form on your behalf. Make sure they understand and agree to the terms and conditions outlined in the form.
08
Return the form: Once you have completed filling out the form, return it to the appropriate authority, such as your coach, school nurse, or athletic department. Keep a copy of the completed form for your records.
Who needs an athletic physical consent form?
01
Student-athletes: Any student participating in school-sponsored athletics or sports programs typically needs to complete an athletic physical consent form. This ensures that they are physically fit to engage in sports activities and allows medical professionals to provide appropriate care if needed.
02
Parents or guardians: If the student-athlete is below the legal age of consent, a parent or guardian is required to read and sign the form on their behalf. This signifies that they are aware of the risks involved in sports participation and give their consent for the student to engage in athletic activities.
03
Coaches and athletic departments: Coaches and athletic departments require these consent forms to ensure the safety and well-being of the student-athletes. It provides them with necessary information about the athlete's medical history and insurance coverage in case of any injuries during practices or competitions.
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What is athletic physical consent form?
The athletic physical consent form is a document that gives permission for an individual to participate in athletic activities after undergoing a physical examination.
Who is required to file athletic physical consent form?
Athletes who wish to participate in sports or athletic activities are required to file the athletic physical consent form.
How to fill out athletic physical consent form?
To fill out the athletic physical consent form, athletes must provide personal information, medical history, and consent to undergo a physical examination.
What is the purpose of athletic physical consent form?
The purpose of the athletic physical consent form is to ensure that athletes are healthy and fit to participate in sports or athletic activities.
What information must be reported on athletic physical consent form?
The athletic physical consent form typically requires information such as contact details, emergency contacts, medical history, insurance information, and consent for medical treatment.
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