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KANSAS ATHLETIC COMMISSION Department of Commerce 1000 SW Jackson, Suite 100 Topeka, KS 666121214 Phone: (785) 2961913 Fax: (785) 2966809 ATHLETIC PARTICIPATION PHYSICAL EXAMINATION FORM Today's Date:
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How to fill out athletic participation physical examination

01
Gather all necessary documents such as the physical examination form, medical history form, and any other required documentation.
02
Fill out the personal information section including name, address, date of birth, and emergency contact information.
03
Provide information about past medical history including any previous injuries, illnesses, or surgeries.
04
Answer questions regarding current medications, allergies, and any existing medical conditions.
05
Complete the parental consent section if the athlete is under 18 years old.
06
Have a healthcare professional perform the physical examination, checking for any abnormalities or health concerns.
07
Make sure all sections of the form are completed accurately and legibly.
08
Review the completed form for any errors or missing information before submitting.
09
Submit the filled-out physical examination form to the appropriate authority, such as the school or athletic organization.
10
Keep a copy of the completed form for your records.

Who needs athletic participation physical examination?

01
Individuals who wish to participate in athletic activities such as school sports teams, club sports, or competitive events.
02
Student-athletes who require medical clearance before engaging in physical activities.
03
Athletes of all ages who need to ensure their physical health and fitness for sports or rigorous physical training.
04
Schools, sports organizations, or coaches may also require athletic participation physical examinations for liability and safety purposes.
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The athletic participation physical examination is a medical evaluation conducted to assess an individual's fitness level and overall health before participating in sports or strenuous physical activities.
Athletes or individuals planning to participate in organized sports or physical activities are required to undergo and file an athletic participation physical examination.
To fill out an athletic participation physical examination, individuals need to provide their personal information, medical history, current health status, and undergo a physical examination by a healthcare provider.
The purpose of athletic participation physical examination is to ensure that individuals are physically fit and healthy enough to safely participate in sports activities, prevent potential injuries, and identify any underlying health conditions.
Information reported on athletic participation physical examination typically includes personal details, medical history, current medical conditions, medication use, allergies, immunization status, and the results of the physical examination.
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