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SPORT:CITY SCHOOL DISTRICT OF NEW ROCHELLE 515 NORTH AVENUE NEW ROCHELLE, NEW YORK 108013416INTERVAL ATHLETIC HEALTH HISTORY Name: DOB: School: Grade: Parents/Guardians must complete and sign this
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How to fill out interval athletic health history

01
Start by obtaining the interval athletic health history form from the appropriate authority or organization.
02
Begin by filling out your personal information section, including your name, date of birth, address, and contact details.
03
Move on to the medical history section and provide accurate information regarding any past or current medical conditions, surgeries, or injuries.
04
Fill in details about any medications you are currently taking or have taken in the past.
05
Mention any known allergies or sensitivities to medications, foods, or environmental factors.
06
Answer questions regarding your family history of medical conditions, if applicable.
07
Provide information about your exercise and athletic history, including any previous sports or activities you have participated in.
08
Fill in details about any relevant emergency contacts that should be notified in case of an injury.
09
Review the form carefully before submitting it, ensuring all information is complete and accurate.
10
Submit the completed interval athletic health history form to the designated authority or organization as instructed.

Who needs interval athletic health history?

01
Interval athletic health history forms are typically required by athletes or individuals participating in organized sports events or competitions.
02
School athletic departments, sports clubs, and sports governing bodies often request these forms to assess and monitor the health status of athletes.
03
Coaches, trainers, and medical professionals involved in sports programs may also need interval athletic health history forms to better understand athletes' medical backgrounds and provide appropriate care.
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Interval athletic health history is a document that records an athlete's medical history, including previous injuries, health conditions, and relevant medical information that could impact their athletic participation.
Athletes participating in organized sports programs, especially at schools or colleges, are typically required to file an interval athletic health history.
To fill out an interval athletic health history, individuals must provide accurate information regarding their medical conditions, previous injuries, medications, and any other relevant health information as specified by the organization.
The purpose of interval athletic health history is to ensure the safety and well-being of athletes by identifying potential health risks and ensuring that they are fit to participate in sports.
The information that must be reported includes personal information, past medical conditions, current medications, previous injuries, surgeries, and any allergies.
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