Eastern Connecticut State University Athletic Pre-Participation Evaluation 2015-2025 free printable template
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EASTERN CONNECTICUT STATE UNIVERSITY ATHLETIC PARTICIPATION EVALUATION Page 1: Medical History Name: ID#: Sport/Semester / STUDENTS: Complete this form if you are planning to try out or participate
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How to fill out Eastern Connecticut State University Athletic Pre-Participation Evaluation
01
Obtain the Eastern Connecticut State University Athletic Pre-Participation Evaluation form from the athletics department or the university website.
02
Fill in your personal information including name, date of birth, and contact details.
03
Provide details of your primary care physician, including their name, address, and phone number.
04
Complete the medical history section, including questions about past injuries, surgeries, and existing medical conditions.
05
Answer questions regarding your family medical history relevant to athletic participation.
06
Complete the physical examination section, which may require a doctor’s assessment (check with your physician).
07
Mention any medications you are currently taking and any allergies you may have.
08
Sign the consent section as required, confirming that the information provided is accurate and that you understand the implications of athletic participation.
09
Submit the completed form to the athletics department by the specified deadline.
Who needs Eastern Connecticut State University Athletic Pre-Participation Evaluation?
01
All student-athletes wishing to participate in Eastern Connecticut State University athletics must complete the Pre-Participation Evaluation.
02
Incoming freshman and transfer students who plan to join a sports team.
03
Returning athletes who are renewing their eligibility for the athletic program.
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What is Eastern Connecticut State University Athletic Pre-Participation Evaluation?
The Eastern Connecticut State University Athletic Pre-Participation Evaluation is a comprehensive medical assessment conducted to determine an athlete's fitness and health status before they participate in sports.
Who is required to file Eastern Connecticut State University Athletic Pre-Participation Evaluation?
All student-athletes intending to participate in intercollegiate sports at Eastern Connecticut State University are required to file the Athletic Pre-Participation Evaluation.
How to fill out Eastern Connecticut State University Athletic Pre-Participation Evaluation?
To fill out the Eastern Connecticut State University Athletic Pre-Participation Evaluation, students must complete the necessary forms which typically include personal health information, medical history, and a physical examination conducted by a healthcare provider.
What is the purpose of Eastern Connecticut State University Athletic Pre-Participation Evaluation?
The purpose of the Eastern Connecticut State University Athletic Pre-Participation Evaluation is to ensure the health and safety of student-athletes by identifying any potential health risks prior to participation in sports activities.
What information must be reported on Eastern Connecticut State University Athletic Pre-Participation Evaluation?
The information that must be reported includes personal identification details, medical history, previous injuries or conditions, and any medications being taken, along with a physical examination result from a licensed healthcare provider.
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