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16 17 PARTICIPATION PHYSICAL EVALUATION M MEDICAL HISTORY REVISED 2316 This MEDICAL HISTORY FORM must be completed annually by parent (or guardian) and student in order for the student to participate
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How to fill out preparticipation physical evaluation

How to fill out preparticipation physical evaluation:
01
Obtain the necessary forms: Contact the appropriate organization or institution to obtain the preparticipation physical evaluation forms. These forms may be available online or you may need to visit a specific location to pick them up.
02
Read the instructions carefully: Before starting to fill out the forms, take the time to thoroughly read the instructions provided. This will help ensure that you understand what information is required and how to properly complete the evaluation.
03
Provide personal information: Begin by filling out the personal information section of the form. This typically includes your name, date of birth, address, contact information, and emergency contact details. It may also ask for basic medical history such as allergies or chronic conditions.
04
Answer medical history questions: The preparticipation physical evaluation will likely ask a series of questions about your medical history. Be honest and provide accurate answers as this information is crucial for evaluating your overall health and identifying any potential risks.
05
Update immunizations: Verify that your immunizations are up-to-date and provide the required information, including dates and types of vaccines you have received. This helps ensure that you are protected against preventable diseases.
06
Discuss current medications: If you are currently taking any medications, make sure to disclose this information. Include the name, dosage, and frequency of each medication to help the medical personnel assessing your physical evaluation.
07
Mention any previous surgeries or injuries: If you have had any previous surgeries or significant injuries, document these details on the form. Include the dates of these events and any relevant medical treatment you received.
08
Complete the physical examination: A thorough physical examination is typically conducted during a preparticipation physical evaluation. This includes measurements such as height, weight, blood pressure, and heart rate. The medical professional may also assess your vision, hearing, and general physical fitness.
09
Obtain necessary signatures: Once you have completed all the required sections of the preparticipation physical evaluation, make sure to sign the form. Additionally, a parent or guardian may be required to sign if you are a minor.
Who needs preparticipation physical evaluation?
01
Student athletes: Preparticipation physical evaluations are commonly required for student athletes participating in organized sports at the middle school, high school, or collegiate level. These evaluations help ensure that athletes are physically capable of engaging in the sport and identify any health risks that may need to be addressed.
02
Military recruits: Individuals enlisting in the military are often required to undergo a preparticipation physical evaluation to determine their fitness for service. This evaluation assesses the recruit's overall health, physical abilities, and medical history to ensure they can meet the demands of military training.
03
Individuals participating in certain activities: Some recreational or high-risk activities, such as scuba diving or competitive boxing, may require participants to undergo a preparticipation physical evaluation. These evaluations help ensure that individuals are physically prepared for the specific demands and potential risks associated with these activities.
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What is preparticipation physical evaluation?
Preparticipation physical evaluation is a medical examination to assess an individual's fitness level before participating in sports or physical activities.
Who is required to file preparticipation physical evaluation?
Athletes, particularly student-athletes, are usually required to file preparticipation physical evaluation.
How to fill out preparticipation physical evaluation?
To fill out a preparticipation physical evaluation, a healthcare provider needs to conduct a thorough examination of the individual and complete the required forms.
What is the purpose of preparticipation physical evaluation?
The purpose of preparticipation physical evaluation is to ensure the safety and health of individuals participating in sports or physical activities by identifying any underlying medical conditions that may pose a risk.
What information must be reported on preparticipation physical evaluation?
Preparticipation physical evaluation typically includes information such as medical history, current medications, allergies, previous injuries, and family history of certain medical conditions.
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