Get the free ILLINOIS SWIMMING MEDICAL HISTORY QUESTIONNAIRE 1 - ilswim

Long enough to work up a sweat (see questionnaire). EXAMPLE. Strenuous 3times/wk. Moderate 6 times/wk. Light 14 times/wk. Total leisure activity score (9 3) + (5 6) + (3 14) 27 + 30 + 42 99. Odin,

How to fill out illinois swimming medical history

How to fill out Illinois swimming medical history:

1. Start by obtaining the Illinois swimming medical history form. This form should be provided by the swimming organization or facility you are affiliated with.
2. Begin by carefully reading the instructions and understanding the purpose of the form. The medical history form is crucial in ensuring the safety and well-being of swimmers.
3. Write your personal information, including your full name, address, date of birth, and contact details, on the designated fields of the form.
4. Provide detailed information about your medical history. This may include any past illnesses, injuries, surgeries, or medical conditions that could impact your participation in swimming. It is important to be honest and thorough while filling out this section.
5. Mention any known allergies or sensitivities you have, especially those that may require immediate medical attention or treatment.
6. Indicate the contact information of your primary healthcare provider. This allows the swimming organization to reach out to your healthcare provider in case of emergencies or for further information regarding your medical history.
7. If you are currently taking any medications or undergoing any treatments, specify them on the form. Include the dosage and frequency of each medication or treatment.
8. Sign and date the form once you have completed all the necessary sections. By signing, you acknowledge that the information provided is true and accurate to the best of your knowledge.
9. Submit the completed Illinois swimming medical history form to the appropriate authority, such as your coach or the organization's designated medical personnel.

Who needs Illinois swimming medical history?

1. Any individual who wishes to participate in swimming activities in Illinois may be required to provide their medical history.
2. This includes both competitive swimmers and recreational swimmers, regardless of age.
3. Illinois swimming organizations, clubs, and facilities typically require participants to fill out the medical history form to ensure the safety and well-being of all swimmers. This information helps them better understand any potential medical risks or conditions that may require special attention or precautions during swimming activities.

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What is illinois swimming medical history?

Illinois swimming medical history is a form that includes medical information about swimmers to ensure their safety during swimming activities.

Who is required to file illinois swimming medical history?

All swimmers participating in Illinois swimming activities are required to file the medical history form.

How to fill out illinois swimming medical history?

Fill out the form with accurate and up-to-date medical information including any health conditions or allergies.

What is the purpose of illinois swimming medical history?

The purpose of the form is to provide coaches and staff with important medical information to ensure the safety and well-being of the swimmers.

What information must be reported on illinois swimming medical history?

Information such as medical conditions, allergies, medications, emergency contacts, and any other relevant health details.

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