WA Lake Washington School District Pre-Participation Physical Examination - Medical History Form 2016-2025 free printable template

Lake Washington School District Participation Physical Examination Medical History Form Name Date of BIRTH Date of EXAM Gender: MF Age Grade Intended Sport(s) Medications: Please list ALL prescription

How to fill out WA Lake Washington School District Pre-Participation

How to fill out WA Lake Washington School District Pre-Participation Physical

1. Obtain the WA Lake Washington School District Pre-Participation Physical form from the school or district website.
2. Fill out the personal information section, including the student's name, address, and date of birth.
3. Provide details about the student's medical history, including any past surgeries, illnesses, allergies, or medications.
4. Have the student complete the health history questionnaire regarding past injuries or medical conditions relevant to physical activities.
5. Schedule an appointment with a licensed healthcare provider for a physical examination.
6. Ensure that the healthcare provider completes the necessary sections on the form after the examination.
7. Review the filled-out form for any missing information or signatures.
8. Submit the completed form to the appropriate school or athletic department before the deadline.

Who needs WA Lake Washington School District Pre-Participation Physical?

1. Any student participating in sports or athletic activities within the WA Lake Washington School District is required to complete the Pre-Participation Physical.

People Also Ask about

What is included in a Preparticipation exam?

The examination should include blood pressure, pulse, respiration, body weight and height, visual acuity, at a minimum and could include anthropometric measures. The most common abnormalities identified include blood pressure issues and visual acuity.

What are Preparticipation health screenings used for?

Screen for conditions that may predispose to injury or illness.

What are the 4 components of the Preparticipation health examination?

An appropriate preparticipation physical examination is composed of the following components: Medical and Family History. Providers must inquire of a personal history of chest pain, syncope, fatigue, murmurs, etc. Physical Examination. Nutritional Assessment. Heat and Hydration Related Risk Factors. Mental Health Assessment.

What are the 6 main parts of a pre participation physical?

Components of an Appropriate PPE Medical and Family History. Physical Examination. Medication Use. Nutritional Assessment. Heat and Hydration Related Risk Factors. Mental Health Considerations.

What is a Preparticipation physical evaluation form used for?

The PPE physical evaluation form guides primary care providers in conducting a system-based examination to include cardiovascular, nervous system, general medical conditions, respiratory system, gastrointestinal and urogenital, dermatological, musculoskeletal and mental health.

What is the primary goal of the pre-participation physical examination?

The main goal in performing pre-participation or performance screenings is to decrease injuries, enhance performance, and ultimately improve quality of life.

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What is WA Lake Washington School District Pre-Participation Physical?

The WA Lake Washington School District Pre-Participation Physical is a medical evaluation required for students before they participate in school sports activities. It assesses the health and fitness of students to ensure they are physically capable of safely engaging in sports.

Who is required to file WA Lake Washington School District Pre-Participation Physical?

Students who intend to participate in sports programs offered by the WA Lake Washington School District are required to file the Pre-Participation Physical. This typically includes middle and high school athletes.

How to fill out WA Lake Washington School District Pre-Participation Physical?

To fill out the WA Lake Washington School District Pre-Participation Physical, students or their guardians must complete the necessary forms detailing medical history, current health status, and consent for physical examination by a qualified healthcare provider.

What is the purpose of WA Lake Washington School District Pre-Participation Physical?

The purpose of the WA Lake Washington School District Pre-Participation Physical is to ensure the safety and well-being of student athletes by identifying any health issues that may affect their ability to participate in sports and to confirm that they are fit for competition.

What information must be reported on WA Lake Washington School District Pre-Participation Physical?

The information that must be reported includes the student's medical history, current medications, any allergies, previous injuries, and the results of the physical examination conducted by a healthcare professional.