FL MIS 790 2013-2024 free printable template
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Hello my name is Mark Robinson director of athletics and athletic trainer at st. George's Technical High School the purpose of this video is to help you in your student athlete fill out this physical form accurately and efficiently the form is somewhat complex and failure to fill the form out properly can result in your student athlete being ineligible page one of the physical exam form involves a series of parent and student consents the top of the page must be filled out accurately with the information that is required in the middle of the page there is a checkbox this check box is to be checked only if there is a sport that's listed that you do not want your son or daughter to participate in any sport where there's a checkmark next to it will prohibit your student athlete to participate in that sport there are five areas that require signatures the first being a parent and student signature and the remaining for being just parent signatures please sign and date each of these areas as each are very important the second page is the history from this form is to be filled out prior to visiting the physician the name of the student athlete the date of birth and other information must be listed accurately up at the top of the form and all the checkboxes and questions must be answered properly and accurately at the bottom of the form it is very essential that the student athlete signs and the parent or guardian signs and dates at the bottom this is one of the areas of common errors where a parent or guardian or the student athlete fails to sign please do, so this form will not be returned to you the third page is a physical exam form this is the form that the doctor will fill out during the examination I would recommend using this form and not a substitute form so that all the information on this can be checked off appropriately the bottom of the form is to be checked off by the physician again and indicate whether the athlete is cleared for sports with or without restrictions were not clear at all the health care provider must print and sign their name and date the date of the exam this is an area where the doctor's office may have a stamp, but a signature is still required in order for this to be complete properly please make sure that the physician does date this as well and make sure that it's all complete before you leave the physician's office the fourth page is the school athlete medical card this form is very important because it is what will travel with all student athletes when they go to a way contest the information at the top must be filled out clearly and printed so that it is visible so that if the information is required it can be used appropriately please make sure address phone numbers and other information on this again are clear visible and accurate the second section of this form is medical information again please fill out what is appropriate in section 3 one area that again usually is in a common place for errors is for...
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