Get the free Athletic Clearance Initial History Form

2012 UCLA DIVISION I COACHES HANDBOOK TABLE OF CONTENTS WELCOME LETTER.....................................................................................................................................

How to fill out athletic clearance initial history

How to fill out athletic clearance initial history:

1. Begin by obtaining the necessary forms: Before filling out the athletic clearance initial history, make sure you have the required forms. These forms can usually be obtained from your school's athletic department or website.
2. Provide personal information: Start by filling out the personal information section of the form. This typically includes your name, address, phone number, date of birth, and emergency contact information.
3. Medical history: Next, provide your medical history. This may include information on any previous injuries, surgeries, or medical conditions that could affect your participation in athletics. Be thorough and accurate when providing this information.
4. Medications: If you are currently taking any medications, list them on the form. Include the name of the medication, dosage, and frequency of use.
5. Allergies: Indicate if you have any allergies, including food allergies, medication allergies, or environmental allergies. Be specific about the substances or allergens that you are allergic to.
6. Immunizations: Provide a record of your immunizations. This may include vaccinations for diseases such as tetanus, measles, mumps, rubella, hepatitis, etc. Make sure all required immunizations are up to date.
7. Medical insurance information: Fill in your medical insurance information. Include the name of the insurance company, policy number, and any other relevant details. It is important to have valid medical insurance coverage for any potential injuries or accidents during athletic activities.
8. Medical consent: If you are under 18 years old, a parent or legal guardian will need to sign the form to give consent for medical treatment in case of an emergency.

Who needs athletic clearance initial history?

Athletic clearance initial history is typically required for any individual who wishes to participate in sports or athletic activities. This requirement is commonly found in schools, colleges, and universities, where athletes are required to have their medical histories documented and approved before participating in sports. The purpose is to ensure that individuals are physically capable and fit to participate in sports and to identify any pre-existing medical conditions or injuries that may require special attention or precautions during athletic activities.

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What is athletic clearance initial history?

Athletic clearance initial history is a form that documents a student athlete's medical history, including any previous injuries or health conditions.

Who is required to file athletic clearance initial history?

All student athletes participating in school sports are required to file athletic clearance initial history.

How to fill out athletic clearance initial history?

To fill out athletic clearance initial history, student athletes and their parents or guardians must provide information about the athlete's medical history, including any previous injuries or health conditions.

What is the purpose of athletic clearance initial history?

The purpose of athletic clearance initial history is to ensure that student athletes are medically cleared to participate in sports and to help coaches and medical staff be aware of any preexisting conditions.

What information must be reported on athletic clearance initial history?

Information such as previous injuries, surgeries, medications, allergies, and any ongoing health conditions must be reported on athletic clearance initial history.