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(designed by MSH SAA Sports Medicine Advisory Committee, 2011) .... I have examined the above-named student and completed the pre-participation physical evaluation. ... This application to represent
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How to fill out mshsaa pre-participation physical evaluation

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How to fill out mshsaa pre-participation physical evaluation:

01
Obtain the form: The mshsaa pre-participation physical evaluation form can usually be obtained from your school's athletic department or downloaded from the mshsaa website.
02
Read the instructions: Before filling out the form, carefully read and understand the instructions provided. This will ensure that you provide all necessary information and complete the form correctly.
03
Personal information: Start by filling out your personal details such as your name, date of birth, address, and contact information. Make sure to spell your name correctly and provide accurate contact details.
04
Medical history: Answer all questions regarding your medical history honestly and thoroughly. Provide details about any past illnesses, injuries, surgeries, allergies, medications, or chronic conditions that may affect your participation in sports.
05
Parent/guardian section: If you are under 18 years old, a parent or guardian will need to sign and fill out certain sections of the form. Ensure that they complete the required fields, including emergency contact information.
06
Physical examination: Schedule an appointment with a qualified healthcare professional, such as your primary care physician, to perform the physical examination. They will assess your overall health, vital signs, musculoskeletal system, and perform any necessary screenings.
07
Health care provider section: After your physical examination, the healthcare provider will complete and sign the required sections of the form. They may provide additional recommendations or restrictions based on your health status.
08
Return the form: Once the form is fully completed, signed, and dated by the necessary individuals, return it to your school's athletic department by the specified deadline. Keep a copy of the form for your records.

Who needs mshsaa pre-participation physical evaluation?

01
Student-athletes: Any individual planning to participate in sports sanctioned by the Missouri State High School Activities Association (mshsaa) must complete the pre-participation physical evaluation. This includes both middle and high school students.
02
Specific sports participation: The mshsaa pre-participation physical evaluation is required for any student planning to participate in school-sponsored athletic activities, including but not limited to football, basketball, soccer, wrestling, volleyball, track and field, tennis, and swimming.
03
Annual requirement: The evaluation must be completed annually, typically before the start of each new sports season. This ensures that student-athletes are in good health and fit to participate safely in their chosen sport.
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The MSHSAA pre-participation physical evaluation is a form that is required for student-athletes to complete before participating in sports activities governed by the Missouri State High School Activities Association (MSHSAA). It is a medical assessment to ensure the student is physically able to participate safely.
All student-athletes who wish to participate in MSHSAA-sanctioned sports activities are required to file a pre-participation physical evaluation.
To fill out the MSHSAA pre-participation physical evaluation, the student-athlete or their parents/guardians must complete the form with accurate medical history, contact information, and other applicable details. A licensed healthcare professional, such as a physician or nurse practitioner, must also perform a physical examination and complete the required sections of the form.
The purpose of the MSHSAA pre-participation physical evaluation is to assess the student-athlete's overall health, detect any potential medical conditions or injuries that could affect their participation in sports, and ensure their safety during athletic activities.
The MSHSAA pre-participation physical evaluation form requires general demographic information, medical history, immunization records, emergency contact information, and the results of a physical examination performed by a licensed healthcare professional. It may also require additional details specific to certain medical conditions or medications.
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