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PARTICIPATION PHYSICAL EVALUATION NAME SEX AGE GRADE DATE OF BIRTH SCHOOL SPORT’S) ADDRESS PERSONAL PHYSICIAN IN CASE OF EMERGENCY, CONTACT: NAME RELATIONSHIP PHONE (H) (W) (C) EXPLAIN YES ANSWERS
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How to fill out pre-participation physical evaluation

How to Fill Out Pre-Participation Physical Evaluation:
01
Obtain the necessary form: Start by obtaining the pre-participation physical evaluation form from the relevant authority. This form is usually provided by the school, sports team, or medical professional conducting the evaluation.
02
Read the instructions carefully: Before filling out the form, take the time to thoroughly read the instructions provided. These instructions will guide you through the required information and any specific guidelines for completing the evaluation.
03
Provide personal information: Begin by providing your personal information, such as your full name, date of birth, address, and contact details. Make sure to write legibly and provide accurate information.
04
Medical history: Fill out the section pertaining to your medical history. This includes any past or current medical conditions, surgeries, injuries, allergies, medications, and any other relevant medical information. It is crucial to be honest and provide complete information for an accurate evaluation.
05
Family medical history: Some pre-participation physical evaluation forms may ask for information about your family medical history. This can include any hereditary or genetic conditions that may affect your health. Answer these questions to the best of your knowledge.
06
Immunization records: Provide your immunization records as required. This is often a mandatory component of the pre-participation physical evaluation to ensure that you are up to date on necessary vaccinations.
07
Emergency contact information: Include the contact information of someone who should be reached in case of an emergency during the evaluation or participation in athletic activities. This is important for immediate communication and medical care if needed.
08
Signature and date: Review the information you have provided and make sure it is accurate and complete. Sign and date the form as required to validate your consent and understanding.
Who needs pre-participation physical evaluation?
01
Students participating in school sports: Pre-participation physical evaluation is typically required for students who plan to participate in school sports activities. This is done to ensure they are physically capable of engaging in the chosen sport and to identify any potential health risks.
02
Athletes competing at the collegiate level: College athletes are also required to undergo a pre-participation physical evaluation. This is to assess their overall health and identify any medical conditions or injuries that may affect their performance or pose risks during intense physical activity.
03
Individuals joining recreational sports teams: In some cases, recreational sports leagues or teams may also require participants to undergo a pre-participation physical evaluation. This is done to ensure the safety and well-being of all individuals involved in the activities.
In summary, it is important to carefully fill out the pre-participation physical evaluation form by following the provided instructions. This evaluation is typically required for students participating in school sports, collegiate athletes, and individuals joining recreational sports teams. Providing accurate and complete information is essential to ensure an accurate evaluation of one's physical health and any potential risks.
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What is pre-participation physical evaluation?
Pre-participation physical evaluation is a comprehensive medical examination conducted to assess an individual's physical health and fitness before participating in sports or other physical activities.
Who is required to file pre-participation physical evaluation?
Athletes or individuals planning to participate in organized sports or physical activities are usually required to file pre-participation physical evaluation.
How to fill out pre-participation physical evaluation?
To fill out pre-participation physical evaluation, one must visit a healthcare provider who will conduct the examination and provide the necessary paperwork to be completed.
What is the purpose of pre-participation physical evaluation?
The purpose of pre-participation physical evaluation is to identify any underlying medical conditions that may affect an individual's ability to participate in sports or physical activities safely.
What information must be reported on pre-participation physical evaluation?
Pre-participation physical evaluation typically includes personal medical history, family medical history, physical examination findings, and clearance for participation.
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