WA NSD Pre-Participation History and Physical Examination 2010-2025 free printable template

North shore School DistrictPreParticipation History and Physical Examination (rev. 12/2010) Name (print full name) Birth Date Pupil # Exam Date Street Address City Zip Home Phone Sport Grade Parents/Guardians

How to fill out WA NSD Pre-Participation History and Physical

How to fill out WA NSD Pre-Participation History and Physical Examination

1. Obtain the WA NSD Pre-Participation History and Physical Examination form from your school or sports organization.
2. Fill out personal information at the top of the form, including name, date of birth, and school details.
3. Carefully review the health history questions, answering all items truthfully regarding past medical issues, surgeries, and medications.
4. Include details about any allergies, chronic conditions, or disabilities.
5. Have a parent or guardian review and sign the form if the athlete is a minor.
6. Schedule a physical examination with a qualified healthcare provider.
7. During the physical examination, the healthcare provider will assess the athlete's overall health and fitness.
8. The healthcare provider will complete the designated section of the form after the examination.
9. Review the completed form to ensure all sections are filled out correctly.
10. Submit the completed form to your school or sports organization before the deadline.

Who needs WA NSD Pre-Participation History and Physical Examination?

1. All student-athletes participating in sports activities.
2. Students who are entering a new sports program or trying out for a team for the first time.
3. Athletes returning for a new sports season to ensure their health status is current.

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What is WA NSD Pre-Participation History and Physical Examination?

The WA NSD Pre-Participation History and Physical Examination is a medical assessment required for individuals participating in sports to evaluate their health and readiness for athletic activity.

Who is required to file WA NSD Pre-Participation History and Physical Examination?

Athletes who wish to participate in school-sponsored sports programs in Washington State are required to file the WA NSD Pre-Participation History and Physical Examination.

How to fill out WA NSD Pre-Participation History and Physical Examination?

To fill out the WA NSD Pre-Participation History and Physical Examination form, individuals should complete the health history questionnaire, provide accurate medical information, and have a licensed healthcare professional conduct the physical examination.

What is the purpose of WA NSD Pre-Participation History and Physical Examination?

The purpose of the WA NSD Pre-Participation History and Physical Examination is to ensure that athletes are in good health, identify any medical conditions that might affect performance or safety, and minimize the risk of injury.

What information must be reported on WA NSD Pre-Participation History and Physical Examination?

The information that must be reported includes personal and family medical history, previous injuries, medications, allergies, and any current health concerns, along with results from the physical examination conducted by a healthcare provider.