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2009-10 PRE-PARTICIPATION MEDICAL EVALUATION FORM *Entire Page To Be Completed By Patient Personal History Name Sex Grade Age DOB Sport(s) School Personal Physician Address Telephone Have you ever

How to fill out 2009-10 pre-participation medical evaluation

How to fill out the 2009-10 pre-participation medical evaluation:

1. Start by carefully reading through the entire form. Familiarize yourself with the sections and information that needs to be provided.
2. Begin by filling out your personal information section. This typically includes your name, date of birth, address, phone number, and emergency contact information.
3. Move on to the medical history section. Provide accurate and detailed information about any past or current medical conditions, surgeries, medications, allergies, or significant injuries.
4. Answer each question in the medical history section truthfully and to the best of your knowledge. If you are unsure about any specific medical details, it is important to consult with your healthcare provider before completing the form.
5. If required, provide any additional documentation or information requested in the form. This may include immunization records, specific medical clearances, or previous medical evaluation reports.
6. Next, move on to the physical examination section. This may require the assistance of a healthcare professional such as a physician or nurse practitioner. They will assess your overall health, vision, hearing, and other relevant factors based on the requirements outlined in the form.
7. Provide any necessary information and signatures from parent/guardian or the participant themselves, depending on the age and legal capacity.
8. Double-check all the information you have provided before submitting the form. Make sure everything is accurate, complete, and legible.

Who needs the 2009-10 pre-participation medical evaluation?

1. Student athletes: This evaluation is typically required for student athletes who plan to participate in sports or physical activities during the 2009-10 academic year. It helps ensure their health and safety while participating in strenuous physical activities.
2. Schools and sports organizations: Educational institutions and sports organizations usually require participants to complete this evaluation as part of their eligibility requirements. It helps them assess the overall health and fitness of individuals and determine their suitability for specific sports or activities.
3. Coaches and medical professionals: Coaches and medical professionals involved in sports programs rely on the information provided in the pre-participation medical evaluation to develop appropriate training plans, make informed decisions about participants' health and safety, and provide necessary medical care if required.

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