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DEPARTMENT OF DEFENSE EDUCATION ACTIVITY
STUDENT HEALTH HISTORY
PRIVACY ACT STATEMENT:
AUTHORITY: 10 U.S.C. sections 2164 and 20 U.S.C. sections 921-932.
PRINCIPAL PURPOSE: To obtain health information
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How to fill out dodea sports physical form

Instructions on how to fill out the dodea sports physical form:
01
Obtain the form: You can usually get the dodea sports physical form from your school or you may find it on the school's website.
02
Read the instructions: Carefully go through the form and read all the instructions provided. This will ensure that you understand what information needs to be filled out and how to complete each section correctly.
03
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 accurately to avoid any errors.
04
Medical history: Fill out the medical history section by providing details about any past and current medical conditions, injuries, or surgeries you may have had. Be honest and thorough in your responses to provide an accurate picture of your health status.
05
Medications and allergies: Indicate any medications you are currently taking and list any allergies or adverse reactions you may have. This information is crucial for healthcare professionals to know in case of emergencies during sports activities.
06
Immunization record: Provide documentation of your immunization history. You may need to attach records or have them validated by a healthcare provider.
07
Parent or guardian consent: If you are under 18 years old, a parent or guardian must sign the form to provide consent for you to participate in sports activities. Make sure they complete this section appropriately.
08
Medical examination: A medical evaluation is usually required to complete the form. Schedule an appointment with your healthcare provider to get a thorough physical examination. They will complete their part of the form, which often includes measuring vital signs, assessing physical fitness, and clearing you for participation in sports.
09
Return the form: Once you have filled out all the necessary information and obtained the required signatures and medical clearance, submit the form to the designated authority at your school. Make sure to keep a copy for your records.
Who needs the dodea sports physical form?
01
Students participating in DODEA sports: Any student who wants to participate in sports offered by the Department of Defense Education Activity (DODEA) is required to fill out the dodea sports physical form.
02
Parents or legal guardians: If the student is under 18 years of age, their parents or legal guardians are responsible for completing and signing the form, giving consent for their child's participation.
03
Healthcare providers: Healthcare providers play a crucial role in completing the form by conducting the necessary medical examinations and providing medical clearance for the student to participate in sports activities.
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What is dodea sports physical form?
The DoDEA sports physical form is a document required for student-athletes participating in sports activities under the Department of Defense Education Activity (DoDEA) program. It evaluates the student's physical health and readiness for participation in sports.
Who is required to file dodea sports physical form?
Students in DoDEA schools who wish to participate in interscholastic sports are required to file the DoDEA sports physical form.
How to fill out dodea sports physical form?
To fill out the DoDEA sports physical form, a student athlete must complete personal information sections, have a licensed medical professional conduct a physical examination, and ensure that the form is signed by both the physician and a parent or guardian.
What is the purpose of dodea sports physical form?
The purpose of the DoDEA sports physical form is to ensure that student athletes are medically fit to participate in sports, to identify any existing health issues, and to promote the students' health and safety.
What information must be reported on dodea sports physical form?
The DoDEA sports physical form must include the student's personal health history, results from a physical examination conducted by a healthcare provider, any current medications, and emergency contact information.
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