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PARTICIPATION PHYSICAL EVALUATION (Note: This form is to be led out by the patient and parent prior to seeing the physician. The physician should keep a copy of this form in the chart.) Date of Exam
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How to fill out preparticipation physical evaluation

01
Start by gathering all necessary forms and paperwork for the preparticipation physical evaluation.
02
Read through the instructions and requirements carefully to ensure you understand what is expected of you.
03
Begin by providing personal information such as name, date of birth, address, and contact information.
04
Fill out medical history information, including any past injuries or illnesses, chronic conditions, current medications, and allergies.
05
Answer questions regarding any specific symptoms or issues related to physical activity or exercise.
06
Provide information on any surgeries or hospitalizations you have had in the past.
07
Complete the section on vaccinations and immunizations, specifying dates and types of vaccines received.
08
Fill out the section on family medical history, noting any conditions that run in your family.
09
Answer questions about your current fitness level and participation in sports or physical activities.
10
Sign and date the form to certify the information provided is accurate and true.
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Review your completed form for any errors or omissions before submitting it.
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Make copies of the filled-out form for your own records and submit the original to the appropriate authority.

Who needs preparticipation physical evaluation?

01
Preparticipation physical evaluation is typically required for individuals who plan to participate in organized sports or athletic activities.
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This can include students who want to join school sports teams, college athletes, professional athletes, and even recreational sports participants.
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The evaluation helps to assess an individual's overall health and identify any potential risks or conditions that may interfere with their ability to participate safely.
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It is necessary to ensure the well-being and safety of athletes and reduce the risk of injuries or complications during physical activity.
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A preparticipation physical evaluation (PPE) is a health assessment performed by a qualified healthcare provider to determine an individual's physical readiness to participate in a sports activity.
Generally, all student-athletes who wish to participate in school-sponsored sports programs are required to file a preparticipation physical evaluation.
To fill out a PPE, individuals must complete a standardized form that includes personal health history, current physical conditions, and medical clearance from a healthcare provider.
The purpose of a preparticipation physical evaluation is to identify any medical conditions that may pose risks during sports activities and to ensure that all athletes are fit to participate safely.
The PPE must report personal health history, any previous surgeries or injuries, current medications, allergies, and results of physical examination including height, weight, and vital signs.
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