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KANSAS STATE HIGH SCHOOL ACTIVITIES ASSOCIATION PO Box 495, 601 SW Commerce Place; Topeka, KS 666010495; (785× 2735329 HISTORY PPE PARTICIPATION PHYSICAL EVALUATION Name Sex Female Age Date of birth
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How to fill out pre-participation physical evaluation

How to fill out pre-participation physical evaluation:
01
Make sure to have all necessary forms: Gather all required paperwork, such as the pre-participation physical evaluation form provided by your organization or school.
02
Complete personal information: Start by filling out your personal information, including your full name, date of birth, address, contact number, emergency contact information, and any pertinent medical conditions or allergies.
03
Medical history: Provide a detailed account of your medical history, including any past surgeries, major illnesses, chronic conditions, or known allergies. Be honest and accurate with this information to ensure proper evaluation and care.
04
Immunization record: List all vaccines and immunizations you have received, along with the dates. Include any boosters or additional vaccinations that may be relevant.
05
Medication list: Document any medications you are currently taking, including dosage and frequency. Include both prescription and over-the-counter medications, as well as any supplements or herbal remedies.
06
Physical examination: Schedule a physical examination with a licensed healthcare professional. They will perform a thorough evaluation, checking your vital signs, vision, hearing, flexibility, strength, and overall health. Make sure to bring the pre-participation physical evaluation form to your appointment, so the healthcare provider can fill out their portion.
07
Fitness assessment: If necessary, complete any fitness or performance tests required by your organization or school. This may include measurements of your height, weight, body composition, cardiovascular endurance, and muscular strength.
08
Medical clearance: Once you have completed all sections of the pre-participation physical evaluation, submit the form to the appropriate authority. They will review the information and determine if you are medically cleared to participate in the desired activity or sports.
09
Follow-up if needed: If any red flags or concerns are identified during the evaluation, the healthcare professional may request additional tests, consultations, or treatments. Follow their recommendations to ensure your health and safety.
Who needs pre-participation physical evaluation?
01
Student-athletes: Pre-participation physical evaluations are commonly required for students participating in organized sports programs at schools or colleges. This helps ensure that they are physically fit and capable of participating safely.
02
Professional athletes: Athletes at the professional level may also need to undergo pre-participation physical evaluations to assess their health status and readiness to compete.
03
Individuals starting a new exercise program: If you are starting a new exercise program, particularly if it involves intense physical activity or high-risk sports, a pre-participation physical evaluation may be recommended to assess your overall health and identify any potential risks or limitations.
04
Individuals with certain medical conditions: People with specific medical conditions or histories, such as heart disease, respiratory issues, or previous injuries, may benefit from a pre-participation physical evaluation to ensure they can engage in physical activities safely.
05
Individuals pursuing certain occupations: Some jobs or professions, such as firefighters, police officers, or military personnel, may require pre-participation physical evaluations to assess physical fitness and determine if individuals are capable of meeting the physical demands of their roles.
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What is pre-participation physical evaluation?
Pre-participation physical evaluation is a medical exam that assesses an individual's health and fitness for participating in a certain activity, such as sports.
Who is required to file pre-participation physical evaluation?
Athletes, especially those involved in organized sports, are usually required to file pre-participation physical evaluations.
How to fill out pre-participation physical evaluation?
To fill out a pre-participation physical evaluation, one must provide detailed medical history, undergo physical examination, and get clearance from a healthcare provider.
What is the purpose of pre-participation physical evaluation?
The purpose of pre-participation physical evaluation is to ensure the safety and well-being of individuals participating in specific activities by identifying any underlying health conditions or risks.
What information must be reported on pre-participation physical evaluation?
Information such as medical history, current medications, allergies, past injuries, family history, and results of physical exams must be reported on pre-participation physical evaluation forms.
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