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Kansas State High School Activities AssociationPREPARTICIPATION PHYSICAL EVALUATION INSTRUCTIONS STUDENTS/PARENTS 1. Complete the History Form (pages 1 & 2) portion PRIOR to your appointment with
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How to fill out kshsaa pre-participation physical evaluation

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How to fill out kshsaa pre-participation physical evaluation

01
Obtain a copy of the KSHSAA Pre-Participation Physical Evaluation form from your school or download it from the official KSHSAA website.
02
Read the instructions and fill out the personal information section, including your name, date of birth, address, and contact details.
03
Provide your medical history by answering the questions about any previous injuries, surgeries, illnesses, or ongoing medical conditions.
04
Answer questions about your family history of certain medical conditions, such as heart problems or asthma.
05
Complete the questionnaire about your current health status, including any symptoms you may be experiencing or medication you are taking.
06
Sign and date the form, indicating that all the provided information is accurate to the best of your knowledge.
07
Schedule an appointment with a licensed healthcare professional, such as a physician or nurse practitioner, for the physical examination.
08
Bring the completed form to your appointment and undergo the necessary medical examinations, including measurements, vision testing, and cardiovascular assessments.
09
The healthcare professional will complete the remaining sections of the form, including recommendations for participation restrictions or necessary follow-up.
10
Once all sections are filled out and signed by both you and the healthcare professional, submit the form to your school's athletics department or the appropriate authority as instructed.

Who needs kshsaa pre-participation physical evaluation?

01
Any student-athlete participating in a Kansas State High School Activities Association (KSHSAA) sanctioned sport or activity needs to complete a KSHSAA Pre-Participation Physical Evaluation.
02
This includes both middle school and high school student-athletes, regardless of the level of competition.
03
It is required for all sports and activities, such as football, basketball, soccer, volleyball, track and field, cheerleading, wrestling, etc.
04
The evaluation ensures that student-athletes are medically cleared to participate and helps identify any underlying health issues that may require special attention or precautions during physical activities.
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The KSHSAA pre-participation physical evaluation is a form that must be completed by a licensed healthcare provider to ensure that student-athletes are healthy and physically able to participate in sports.
All student-athletes who plan to participate in KSHSAA sanctioned sports are required to file a pre-participation physical evaluation.
The form must be filled out by a licensed healthcare provider after conducting a thorough physical examination of the student-athlete.
The purpose of the pre-participation physical evaluation is to ensure the safety and well-being of student-athletes by identifying any potential health risks that could prevent them from participating in sports.
The form must include the student-athlete's medical history, current medications, allergies, past injuries, and any restrictions or recommendations from the healthcare provider.
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