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University of California Santa BarbaraStudent Health ServicePREPARTICIPATION ATHLETIC CLEARANCE INITIAL HISTORY (1st of 2 PAGES)
You must bring a copy of your immunization record to the clearance
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How to fill out athletic clearance- initial history

How to fill out athletic clearance- initial history
01
To fill out athletic clearance initial history, follow these steps:
02
Obtain the athletic clearance form from the appropriate authority, such as your school's athletic department.
03
Read the instructions and requirements carefully to ensure you have all the necessary information and documentation.
04
Provide personal details, including your full name, date of birth, address, contact information, and emergency contact.
05
Answer questions related to your medical history, including any previous injuries or health conditions that may affect your participation in athletics.
06
Provide information about your insurance coverage, including the policy number and the name of the insurance provider.
07
Sign and date the form to verify the accuracy of the information provided.
08
Submit the completed form to the designated authority for review and approval.
Who needs athletic clearance- initial history?
01
Athletic clearance initial history is required for individuals participating in athletic activities.
02
This generally includes student-athletes in schools or colleges, but requirements may vary depending on the specific organization or institution.
03
It is important to consult the relevant authority, such as your school's athletic department, to determine if you need athletic clearance before participating in any sports or athletic events.
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What is athletic clearance- initial history?
Athletic clearance- initial history is the process of submitting required documentation and medical information before participating in sports activities.
Who is required to file athletic clearance- initial history?
Student athletes are required to file athletic clearance- initial history before participating in sports activities.
How to fill out athletic clearance- initial history?
Athletic clearance- initial history can be filled out by completing the necessary forms provided by the school or athletic department and submitting all required documentation.
What is the purpose of athletic clearance- initial history?
The purpose of athletic clearance- initial history is to ensure the safety and medical fitness of student athletes before they participate in sports activities.
What information must be reported on athletic clearance- initial history?
Information such as medical history, emergency contact information, insurance details, and consent forms must be reported on athletic clearance- initial history.
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