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Athlete Medical Form HEALTH HISTORY (pages 1 & 2 to be completed by the athlete or parent/guardian/caregiver) REGION/AREA: DELEGATION/TEAM: ATHLETE INFORMATION First Name:PARENTMiddle Name:GUARDIAN
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How to fill out WA Special Olympics Athlete Medical Form

01
Obtain the WA Special Olympics Athlete Medical Form from the official Special Olympics website or your local Special Olympics office.
02
Fill out the athlete's personal information, including their name, date of birth, and contact information.
03
Provide detailed medical history, including any allergies, medications, and existing health conditions.
04
Ensure that the medical section is completed and signed by a licensed physician or healthcare provider.
05
Have the guardian or parent sign the consent section, if the athlete is a minor.
06
Review the entire form for completeness and accuracy.
07
Submit the completed form to the designated Special Olympics official or office.

Who needs WA Special Olympics Athlete Medical Form?

01
Any athlete who wishes to participate in WA Special Olympics events must complete the Athlete Medical Form to ensure their health and safety.
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The WA Special Olympics Athlete Medical Form is a document that collects important medical information about athletes participating in Special Olympic events in Washington State to ensure their safety and wellbeing.
All athletes who wish to participate in Special Olympics programs and events in Washington State are required to file the WA Special Olympics Athlete Medical Form.
To fill out the WA Special Olympics Athlete Medical Form, you need to provide detailed personal information, medical history, emergency contact information, and obtain a physician's signature verifying the athlete's fitness to participate.
The purpose of the WA Special Olympics Athlete Medical Form is to ensure that athletes are medically fit to participate and to identify any medical conditions that may require special consideration during activities.
The WA Special Olympics Athlete Medical Form must report the athlete's personal details, medical history, allergies, current medications, emergency contacts, and a physician's assessment of the athlete's health status.
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