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St. Peters Lutheran School 23000 Ratio Ave. Eastpointe, MI 48021 ATHLETIC MEDICAL CLEARANCE FORM Name of child: Date: Address: City/St/Zip: Date of Birth: Home Phone Number: Fathers Name: Mothers
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How to fill out athletic medical clearance doc:

01
Gather all necessary information: Start by collecting personal details such as full name, date of birth, address, and contact information. Additionally, gather any medical history, current medications, allergies, and emergency contact information.
02
Complete the personal information section: Begin by filling out the personal information section of the athletic medical clearance document. Ensure that all fields are accurately filled, providing all necessary details.
03
Medical history: The next step involves providing a comprehensive medical history. Answer any questions related to previous injuries, surgeries, or medical conditions. Include details about any chronic illnesses or diseases that might affect participation in athletic activities.
04
Medication information: If currently taking any medications, disclose the name, dosage, and frequency of intake. Indicate whether the medication could potentially interfere with athletic performance or cause any side effects.
05
Allergies: Enumerate any known allergies, including food allergies, medication allergies, or environmental allergies. Be specific about the allergic reactions experienced and any necessary precautions or accommodations required.
06
Emergency contact information: Provide the names, relation, and contact details of trusted individuals who should be contacted in case of an emergency during athletic activities. It is crucial to ensure that these contacts can be reached at all times.
07
Consent and signature: Review all the information provided in the athletic medical clearance doc and then sign and date the document, indicating that all the information is accurate and complete. By signing, you are also acknowledging that you understand the risks associated with participating in athletic activities.

Who needs athletic medical clearancedoc?

01
Student-athletes: In schools and colleges, student-athletes participating in any athletic programs, such as football, basketball, or track and field, typically require athletic medical clearance. This ensures that they are physically fit and medically able to engage in such activities safely.
02
Professional athletes: Athletes participating in professional sports leagues or tournaments are often required to undergo medical clearance. This ensures that they are in optimal health and reduces the risks of injuries or complications during training or competitive events.
03
Recreational athletes: Even individuals engaging in recreational sports activities, such as weekend leagues or community athletic programs, might need to complete an athletic medical clearance document. This allows organizers to assess their health status and ensure they can participate safely.
04
Team members: Apart from athletes, team members involved in sports events, such as coaches, trainers, or supporting staff, may also be required to undergo medical clearance. This helps ensure overall safety and well-being within the team.
Remember to consult the specific organization or institution that requires the athletic medical clearance doc to understand their exact requirements and processes.
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Athletic medical clearance doc is a form that verifies an individual's medical fitness to participate in athletic activities.
Athletes are required to file athletic medical clearance doc before participating in any athletic activities.
Athletic medical clearance doc can be filled out by a healthcare provider with relevant medical information of the individual.
The purpose of athletic medical clearance doc is to ensure that individuals are physically capable of participating in athletic activities without any major health risks.
Information such as medical history, current medications, allergies, and any existing medical conditions must be reported on athletic medical clearance doc.
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