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Upper Persimmon School DistrictPIAA PARTICIPATION PHYSICAL EVALUATION FORM Student Information (to be completed by parent) Students Name: Gender: Age: DOB: / / Sport: Grade During the Sport Season:
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How to fill out piaa preparticipation physical evaluation

How to fill out piaa preparticipation physical evaluation
01
To fill out the PIAA Preparticipation Physical Evaluation, follow these steps:
02
Obtain the necessary form: Download the PIAA Preparticipation Physical Evaluation form from the official PIAA website or get a printed copy from your school or sports organization.
03
Fill out the personal information: Provide your full name, date of birth, address, phone number, and any other required personal details.
04
Medical history: Answer the questions related to your medical history, including any past injuries, surgeries, or illnesses. Be honest and thorough in providing this information.
05
Health questionnaire: Complete the health questionnaire section, which may include questions about allergies, medications, current symptoms, and any family history of medical conditions.
06
Physical examination: Undergo a physical examination conducted by a healthcare professional. This exam will typically assess your general health, vital signs, musculoskeletal system, cardiovascular system, and more.
07
Parental consent: If you are under 18 years of age, make sure to obtain parental or guardian consent by having them sign the form.
08
Review and submission: Review the filled-out form for accuracy and completeness. Once satisfied, submit the form to the appropriate authority, such as your school or sports organization.
09
Retain a copy: It is recommended to keep a copy of the filled-out form for your records and future reference.
Who needs piaa preparticipation physical evaluation?
01
The PIAA Preparticipation Physical Evaluation is typically required for individuals who participate in interscholastic sports or activities governed by the Pennsylvania Interscholastic Athletic Association (PIAA). This may include high school student-athletes, middle school student-athletes, and sometimes even elementary school student-athletes.
02
Additionally, certain college athletic programs, sports clubs, and recreational leagues may also require the PIAA Preparticipation Physical Evaluation before allowing individuals to participate.
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What is piaa preparticipation physical evaluation?
Piaa preparticipation physical evaluation is a mandatory physical examination that student athletes must undergo before participating in school sports.
Who is required to file piaa preparticipation physical evaluation?
All student athletes are required to file a piaa preparticipation physical evaluation before participating in school sports.
How to fill out piaa preparticipation physical evaluation?
Piaa preparticipation physical evaluation forms can be filled out by a licensed healthcare provider during a physical examination.
What is the purpose of piaa preparticipation physical evaluation?
The purpose of piaa preparticipation physical evaluation is to ensure that student athletes are healthy and fit to participate in sports activities.
What information must be reported on piaa preparticipation physical evaluation?
Piaa preparticipation physical evaluation forms must include medical history, immunization records, physical exam results, and any necessary treatment plans.
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