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? PRE-PARTICIPATION PHYSICAL EVALUATION HISTORY FORM (Note: This form is to be filled out by the patient and parent prior to seeing the physician. The physician should keep a copy of this form in
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Pre-participation physical evaluation history is a record of an individual's medical history and any previous injuries or conditions that may impact their participation in a specific activity, such as sports or exercise.
Generally, individuals who are participating in organized sports or physical activities, especially at the school or collegiate level, are required to file pre-participation physical evaluation history. The specific requirements may vary depending on the organization or institution.
To fill out pre-participation physical evaluation history, individuals need to provide accurate and detailed information about their medical history, including any pre-existing conditions, past injuries, surgeries, allergies, medications, and family medical history. They may also need to undergo a physical examination by a qualified healthcare professional.
The purpose of pre-participation physical evaluation history is to assess an individual's medical fitness and identify any potential health risks that may affect their participation in physical activities. It helps ensure the safety and well-being of the individuals involved while also providing valuable information for healthcare professionals and coaches to make informed decisions.
The information that must be reported on a pre-participation physical evaluation history form typically includes personal details, current and past medical conditions, medications, allergies, previous surgeries, past injuries, family medical history, immunization status, and any restrictions or recommendations from healthcare professionals.
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