Get the free Pre-Participation Physical Form - UW-Stout - athletics uwstout

UWStoutIntercollegiateAthletics PreparticipationPhysicalEvaluation Thefrontofthisformmustbecompleted, signedandbroughtwiththestudenttothesportsphysical. NAME: CELLPHONE#: DOB: TH ID# EMAIL: YEARINSCHOOL(CIRCLE

How to fill out pre-participation physical form

How to fill out pre-participation physical forms:

1. Begin by carefully reading the instructions on the form. Familiarize yourself with the information required and any specific guidelines mentioned.
2. Personal information: Start by filling in your personal details such as full name, date of birth, address, phone number, and emergency contact information. Ensure accuracy and provide updated contact information.
3. Medical history: Answer all the questions related to your medical history truthfully and accurately. Include any past injuries, surgeries, or chronic conditions you may have had. This information helps healthcare professionals assess your suitability for certain activities or sports.
4. Current medications: If you're taking any medications, list them along with the prescribed dosage. Mention over-the-counter medications or supplements as well. It's important for medical professionals to be aware of any potential interactions or side effects.
5. Allergies: Disclose any known allergies, including food allergies, medication allergies, or allergies to environmental factors like pollen or certain materials. This information is crucial for emergency situations.
6. Immunization records: Provide a comprehensive list of your immunizations, including vaccines for diseases such as tetanus, hepatitis, measles, mumps, rubella, and others. Attach any supporting documentation, if required.
7. Parent or guardian signature: If the form is for a minor, ensure that a parent or guardian signs and dates the form appropriately. This certifies that they have reviewed the information and given their consent.
8. Healthcare provider signature: In some cases, a healthcare provider's signature may be required on the form. Schedule an appointment with your doctor or nurse practitioner, if needed, to complete this step.

Who needs pre-participation physical forms?

1. Student-athletes: Pre-participation physical forms are usually required for students participating in school sports activities. These forms help identify any underlying medical conditions that may require special attention or precautions during physical activity.
2. Employers and organizations: Certain professions and organizations often require pre-employment physical exams to ensure an individual is fit to perform the duties of the job. This can include jobs in healthcare, emergency services, or physically demanding industries.
3. Recreation centers and sports clubs: Gyms, sports clubs, and recreational facilities may require individuals to submit pre-participation physical forms before they can engage in certain activities or use specific equipment. This helps ensure the safety and well-being of participants.
4. Summer camps and extracurricular activities: Many summer camps and extracurricular programs, such as scouting or adventure groups, often require participants to complete pre-participation physical forms. This is to ensure that participants are in good health and can safely partake in the activities offered.

Remember, the specific requirements for pre-participation physical forms may vary depending on the organization or activity. Always consult the instructions provided with the form and reach out to the relevant authority if you have any questions or concerns.

For pdfFiller’s FAQs

What is pre-participation physical form?

Pre-participation physical form is a document that athletes must complete before participating in sports activities.

Who is required to file pre-participation physical form?

All athletes are required to file pre-participation physical form.

How to fill out pre-participation physical form?

Athletes must provide their personal information, medical history, and undergo a physical examination by a healthcare provider.

What is the purpose of pre-participation physical form?

The purpose of pre-participation physical form is to ensure that athletes are healthy and physically able to participate in sports activities.

What information must be reported on pre-participation physical form?

The form must include personal information, medical history, immunization records, and results of physical examination.

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