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ATHLETIC DEPARTMENT PHYSICAL FORM Miami Country Day School, 601 NE 107TH St, Miami, FL 33161 Phone: 3057797250 Fax: 3057797219 STUDENT INFORMATION LAST Name: FIRST Name: Sport(s): Grade in School:
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How to fill out athletic department physical form

01
Step 1: Obtain the athletic department physical form from your school or sports organization.
02
Step 2: Read through the entire form to understand what information is required.
03
Step 3: Fill in your personal details such as name, date of birth, address, and contact information.
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Step 4: Provide medical history information, such as previous injuries, surgeries, or medical conditions.
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Step 5: Answer any questions related to your current health status, such as allergies, medications, or ongoing treatments.
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Step 6: Include emergency contact information of a parent/guardian or another designated person.
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Step 7: Have a licensed medical professional complete the physical examination section, including vital signs, vision assessment, and musculoskeletal evaluation.
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Step 8: Make sure all required signatures are obtained, including those of the participant (if applicable), parent/guardian, and medical professional.
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Step 9: Review the completed form for any errors or missing information.
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Step 10: Submit the athletic department physical form by the specified deadline to the relevant authority.

Who needs athletic department physical form?

01
Any student-athlete intending to participate in sports activities organized by the athletic department requires the athletic department physical form.
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This includes students at middle school, high school, and college levels.
03
Some sports organizations or leagues may also require participants to fill out this form.
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The athletic department physical form is a document that records the medical history and physical examination of a student-athlete.
All student-athletes participating in athletic programs are required to file an athletic department physical form.
The form can be filled out by the student-athlete's primary care physician or by a healthcare provider designated by the athletic department.
The purpose of the athletic department physical form is to ensure that student-athletes are healthy and medically cleared to participate in athletic activities.
The form typically includes information such as medical history, current medications, allergies, and results of a physical examination.
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