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Student Athlete Health History (to be completed for JV or Varsity athletes only) Student's name: Parent Name(s): Date of Birth: Phone #: Age: Year in school: Freshman Sophomore Junior Senior 7th gr.
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How to fill out student athlete health history
How to fill out student athlete health history:
01
Obtain the student athlete health history form from your school or sports organization.
02
Fill out the personal information section, including the athlete's name, date of birth, address, and contact information.
03
Provide details about the athlete's medical history, including any past injuries, surgeries, or illnesses. Be sure to include dates and any relevant medical treatment.
04
Indicate any current medical conditions or medications the athlete is taking. Include dosage information if applicable.
05
Note any allergies or sensitivities the athlete may have, such as food allergies or allergies to medication.
06
Provide information about the athlete's immunization history, including the dates of vaccinations.
07
Complete the emergency contact section, providing the names and phone numbers of individuals who should be contacted in case of an emergency.
08
Sign and date the form, indicating that the information provided is accurate to the best of your knowledge.
09
Return the completed form to the appropriate party, such as the school's athletic department or coach.
Who needs student athlete health history:
01
Schools and sports organizations require student athlete health history to ensure the safety and well-being of the athletes.
02
Coaches and athletic trainers need this information to be aware of any pre-existing medical conditions or injuries that may affect the athlete's performance or require special attention.
03
Medical professionals may also require access to the student athlete health history to provide appropriate medical care in case of an emergency or during routine check-ups.
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What is student athlete health history?
Student athlete health history is a record of a student athlete's past and current health conditions, medications, injuries, surgeries, and any other relevant medical information.
Who is required to file student athlete health history?
All student athletes are required to file their health history with their school's athletic department.
How to fill out student athlete health history?
Student athletes can fill out their health history form by providing accurate and complete information about their medical history, including any current medications, allergies, surgeries, and injuries.
What is the purpose of student athlete health history?
The purpose of student athlete health history is to ensure that student athletes are medically cleared to participate in sports and to provide medical professionals with important information in case of an emergency.
What information must be reported on student athlete health history?
Information that must be reported on student athlete health history includes medical conditions, medications, allergies, surgeries, injuries, and contact information for emergency purposes.
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