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LH SAA MEDICAL HISTORY EVALUATION IMPORTANT: This form must be completed annually, kept on file with the school, & is subject to inspection by the Rules Compliance Team. Please Print Name: School:
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How to fill out lhsaa medical history evaluation:

01
Obtain the lhsaa medical history evaluation form.
02
Read and understand the instructions provided on the form.
03
Provide your personal information, such as name, date of birth, and contact details.
04
Answer all the questions in the medical history section honestly and accurately.
05
If you have any medical conditions or have undergone surgeries, provide detailed information about them.
06
Mention any medications you are currently taking or have taken in the past.
07
Provide information about any allergies or sensitivities you may have.
08
If there have been any significant injuries or hospitalizations in the past, include them in the medical history section.
09
Fill out the immunization section, providing details about the vaccines you have received.
10
If required, provide information about your primary care physician or healthcare provider.
11
Review your answers to ensure they are complete and correct.
12
Sign and date the form.
13
Submit the lhsaa medical history evaluation form as per the instructions provided.

Who needs lhsaa medical history evaluation:

01
High school athletes who wish to participate in sports activities governed by the Louisiana High School Athletic Association (LHSAA).
02
Student-athletes who have not previously submitted a medical history evaluation form or whose previous evaluation has expired.
03
Any student-athlete who has experienced significant changes in their medical history since their last evaluation.
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The lhsaa medical history evaluation is a form that collects information about an individual's medical history to ensure they are healthy and fit to participate in sports activities.
All student-athletes are required to file lhsaa medical history evaluation before they can participate in any sports activities.
To fill out the lhsaa medical history evaluation, the student-athlete or their parent/guardian must provide accurate information about the athlete's medical history and any past injuries or conditions.
The purpose of the lhsaa medical history evaluation is to ensure that student-athletes are healthy enough to participate in sports activities safely and to identify any potential health risks.
Information such as medical conditions, allergies, medications, past injuries, surgeries, and any other relevant medical history must be reported on the lhsaa medical history evaluation.
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