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IA Athletic Pre-Participation Physical Examination 2012 free printable template

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IOWA ATHLETIC PRE-PARTICIPATION PHYSICAL EXAMINATION ARTICLE VII 36. 14 1 PHYSICAL EXAMINATION. Every year each student grades 7-12 shall present to the student s superintendent a certificate signed by a licensed physician and surgeon osteopathic physician and surgeon osteopath advanced registered nurse practitioner ARNP physician s assistant or qualified doctor of chiropractic to the effect that the student has been examined and may safely engage in athletic competition. This certificate of...
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How to fill out IA Athletic Pre-Participation Physical Examination

01
Obtain the IA Athletic Pre-Participation Physical Examination form from your school or athletic department.
02
Fill out the student and parent information sections at the top of the form.
03
Provide medical history details, including any past injuries, illnesses, or surgeries.
04
Ensure to list any medications currently being taken.
05
Schedule an appointment with a licensed healthcare provider (physician, nurse practitioner, or physician assistant) for the physical examination.
06
During the appointment, the healthcare provider will conduct a thorough physical exam, assessing the student's overall health and fitness.
07
The healthcare provider will complete their section of the form, noting any findings or recommendations.
08
Review the completed form for accuracy and make sure all necessary signatures are obtained.
09
Submit the completed form to your school’s athletic department or designated authority by the deadline.

Who needs IA Athletic Pre-Participation Physical Examination?

01
All students participating in athletic programs or sports at the school level.
02
Students who are entering a new sport or returning to sports after an injury.
03
Students who have not participated in athletics for a certain period of time, often one year.
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An appropriate preparticipation physical examination is composed of the following components: Medical and Family History. Providers must inquire of a personal history of chest pain, syncope, fatigue, murmurs, etc. Physical Examination. Nutritional Assessment. Heat and Hydration Related Risk Factors. Mental Health Assessment.
The two main parts to a sports physical are the medical history and the physical exam.
This certificate of physical examination is valid for the purposes of this rule for one (1) calendar year.
Components of an Appropriate PPE General Health Screen. Vital signs, height, weight, blood pressure, vision testing, pulmonary, neurological, abdominal, skin and genitalia exam. Cardiovascular Screen. Hear murmurs, femoral pulses, Marfan syndrome characteristics, blood pressure. Neurologic Screen. General Medical Screen.
The examination should include blood pressure, pulse, respiration, body weight and height, visual acuity, at a minimum and could include anthropometric measures. The most common abnormalities identified include blood pressure issues and visual acuity.
Currently, there are two common types of pre-participation physical exams available for school-aged athletes. They include a PPPE by the athlete's personal physician and the mass screening station exam commonly held on location at the athlete's school.

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The IA Athletic Pre-Participation Physical Examination is a health assessment conducted to evaluate an individual's fitness and readiness to participate in athletic activities, ensuring their safety and well-being.
All student-athletes participating in interscholastic sports in Iowa are required to file the IA Athletic Pre-Participation Physical Examination prior to their participation.
To fill out the IA Athletic Pre-Participation Physical Examination, individuals must complete a form that includes personal health history, medical conditions, physical examination results, and parental consent.
The purpose of the IA Athletic Pre-Participation Physical Examination is to identify any medical issues that could impact an athlete's participation in sports, ensuring they are fit and minimizing the risk of injury.
The IA Athletic Pre-Participation Physical Examination must report information such as the athlete's medical history, current medications, allergies, previous injuries, and the results of the physical assessment conducted by a healthcare professional.
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