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Department of Family Medicine Berlin K. Jansen, MD, FAA FP In preparation for your Sports Physical please. To make your visit for a Sports Physical with Dr. Jansen as easy and efficient as possible,
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How to fill out kansas sports physical form

How to fill out Kansas sports physical form:
01
Begin by obtaining the Kansas sports physical form from the appropriate source. This may be available online from the Kansas State High School Activities Association (KSHSAA) website or provided by your school or sports organization.
02
Ensure that you have all the necessary information and documentation before starting. This may include personal details such as name, date of birth, address, and emergency contact information.
03
Carefully read through the instructions provided on the form to understand the specific requirements and sections that need to be completed. Familiarize yourself with any guidelines or restrictions mentioned.
04
Start by filling in the demographic information section, providing accurate details about yourself such as your name, gender, date of birth, and contact information.
05
Move on to the medical history section, where you will be asked to provide details about any past or present medical conditions, surgeries, allergies, medications, or disabilities that may affect your participation in sports activities.
06
Next, ensure that the immunization section is completed accurately. You may need to provide proof of certain vaccinations, so double-check your immunization records and attach any necessary documentation.
07
If applicable, complete the section pertaining to any medications or supplements you are currently taking. Include the name and dosage of each medication or supplement.
08
The next section typically requires a healthcare professional to perform a thorough physical examination. Schedule an appointment with your primary care physician or a qualified healthcare provider for the examination. Make sure they carefully review and complete the relevant sections of the form, including any required signatures or stamps.
09
If there is a parent or guardian consent section on the form, ensure that it is signed by a parent or legal guardian. This gives permission for the student athlete to participate in sports activities.
10
Once all the required sections are completed, review the form to ensure accuracy and completeness. Check for any missing information or signatures and make any necessary corrections or additions.
11
Finally, submit the completed form to the appropriate authority, such as your school's athletic department or the sports organization overseeing the activity. Keep a copy of the form for your own records.
Who needs Kansas sports physical form:
01
Student athletes: Any student wishing to participate in school-sanctioned sports activities in Kansas is typically required to fill out and submit a Kansas sports physical form.
02
Parents or guardians: As the form may require consent and signatures from a parent or legal guardian, they need to be involved in the process.
03
Healthcare professionals: A qualified healthcare provider, such as a doctor or nurse practitioner, is necessary to perform the physical examination portion of the form and provide any necessary medical information or recommendations.
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