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JOHNSON UNIVERSITY FLORIDAPreparticipation Physical Evaluation(Page 1 of 3) 2. Part 1. Student Information (to be completed by student or parent) Students Name: Sex: Age: Date of Birth: / / School:
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How to fill out pre-participation physical exam form

01
To fill out a pre-participation physical exam form, follow these steps:
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Start by providing your personal information, including your name, date of birth, and contact information.
03
Fill in the medical history section by answering questions about any past illnesses, surgeries, or medical conditions you have had.
04
Provide information about any medications you are currently taking, including the dosage and frequency.
05
Answer questions about any allergies you have, including drug allergies.
06
Fill in the section related to immunizations, indicating whether you have received all the required vaccines.
07
If you have a primary care physician, include their contact information.
08
Complete the section on any previous sports injuries or rehabilitation programs you have gone through.
09
Sign and date the form to certify that the information provided is true and accurate.
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Review the form to ensure all sections are completed before submitting it to the appropriate party, such as your healthcare provider or school administration.

Who needs pre-participation physical exam form?

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A pre-participation physical exam form is required for individuals who wish to participate in certain activities that have inherent physical risks. This can include but is not limited to:
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- High school and college athletes
03
- Competitive sports participants
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- Fitness enthusiasts
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- Individuals planning to join military or law enforcement training programs
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- Individuals enrolling in specific job roles or occupations that involve physical exertion or potential health risks.
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The pre-participation physical exam form is a document that details an individual's medical history, current health status, and any potential risk factors that could impact their participation in sports or other physical activities.
Student athletes and participants in organized sports are typically required to file a pre-participation physical exam form before being allowed to participate.
The form is typically filled out by the individual or their parent/guardian, with detailed information about the individual's medical history, current health status, and any specific medical conditions that need to be addressed.
The purpose of the pre-participation physical exam form is to ensure that individuals are healthy enough to safely participate in sports or physical activities, as well as to identify any potential risk factors that could impact their participation.
The form typically requires information such as medical history, current health status, any medications being taken, allergies, and any previous injuries or surgeries.
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