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ATHLETIC PHYSICAL EXAMINATION FORM Pre-Participation Examination To be completed by athlete or parent prior to examination. Athletes Name Last Athletes Address First Middle School Year City State

How to fill out student-athlete physical examination form

How to fill out a student-athlete physical examination form:

1. Obtain the form: The student-athlete physical examination form can usually be obtained from your school's athletic department or downloaded from their website.
2. Review the instructions: Before starting to fill out the form, carefully read the instructions provided. Familiarize yourself with the required information and any specific guidelines mentioned.
3. Personal information: Begin by filling out your personal information such as your full name, date of birth, address, phone number, and emergency contact details. Provide accurate and up-to-date information.
4. Medical history: The form will typically ask for your medical history. It is important to answer each question truthfully and thoroughly. Include any past illnesses, injuries, surgeries, or chronic conditions that may be relevant. This information ensures that the medical staff is aware of your health background.
5. Immunizations: Indicate whether you are up-to-date on your immunizations by providing the dates of your most recent vaccinations. Some common immunizations required for student-athletes include tetanus, measles, mumps, and rubella.
6. Family medical history: The form may also inquire about your family's medical history. Provide any details of hereditary conditions, such as heart disease, diabetes, or asthma, which may contribute to your health assessment.
7. Medications and allergies: Mention any medications you are currently taking or have taken recently. Include dosage information as well. Additionally, note any allergies or adverse reactions to medications, foods, or other substances.
8. Physical examination: A section of the form will be dedicated to the actual physical examination. This involves a check-up conducted by a healthcare professional. Make sure to schedule and attend your physical examination, as it is necessary to complete this part of the form. The healthcare professional will fill out the required information, such as vital signs, height, weight, blood pressure, and overall assessment of your health.
9. Signature and consent: Finally, read through the form, ensuring that all the necessary information has been provided. Sign the document to provide consent that the information provided is accurate to the best of your knowledge. If required, a parental or guardian signature may also be needed for underage student-athletes.

Who needs a student-athlete physical examination form:

1. Student-athletes: Any student participating in athletic activities at their educational institution typically needs to fill out a student-athlete physical examination form. This includes both high school and college-level athletes.
2. Coaches and athletic departments: The form is crucial for coaches and athletic departments as it helps assess the overall health and physical fitness of the student-athletes. It allows them to identify any medical concerns that may affect the athlete's performance or safety during practices and competitions.
3. Healthcare professionals: The form is designed to be filled out by healthcare professionals, such as doctors, nurses, or athletic trainers. They play a vital role in conducting the physical examination and providing accurate medical information required on the form. Their expertise ensures the form's accuracy and helps evaluate the student-athlete's health status.

For pdfFiller’s FAQs

What is student-athlete physical examination form?

The student-athlete physical examination form is a document that collects medical information about a student-athlete's physical health and fitness.

Who is required to file student-athlete physical examination form?

All student-athletes who wish to participate in sports programs are required to file a student-athlete physical examination form.

How to fill out student-athlete physical examination form?

Student-athletes can fill out the form by providing accurate and up-to-date information about their medical history, current health status, and any existing medical conditions or injuries.

What is the purpose of student-athlete physical examination form?

The purpose of the student-athlete physical examination form is to ensure that student-athletes are physically fit to participate in sports activities and to identify any health risks or conditions that may affect their performance.

What information must be reported on student-athlete physical examination form?

The form typically requires information such as medical history, current medications, allergies, injuries, surgeries, and contact information for emergency purposes.

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