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STUDENT ATHLETE HEALTH INFORMATION FORM 202021 SCHOOL YEAR Student Name (Last Name)(First Name)(Middle Initial) Birth Date Address City State Zip Code Grade Level: Gender: M F In case of illness or
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How to fill out student athlete health information
How to fill out student athlete health information
01
Obtain the student athlete health information form from the school or sports organization.
02
Read the instructions and requirements on the form carefully.
03
Fill out the personal details of the student athlete, such as name, date of birth, address, and contact information.
04
Provide any relevant medical history of the student athlete, including past injuries, surgeries, or chronic conditions.
05
Fill out the emergency contact information, ensuring that it includes the name, relationship, and contact number of a person who can be reached in case of an emergency.
06
Provide information about the student athlete's primary healthcare provider, including their name, contact information, and any known allergies or medications.
07
If required, have a healthcare professional fill out and sign the medical evaluation section of the form, indicating the student athlete's fitness to participate in sports.
08
Review the completed form to ensure all information is accurate and legible.
09
Sign and date the form as the parent or guardian of the student athlete.
10
Submit the filled-out form to the designated person or office as instructed.
Who needs student athlete health information?
01
Student athlete health information is needed by schools, sports organizations, coaches, trainers, and medical staff involved in the care and supervision of student athletes.
02
Additionally, it may also be required by sports governing bodies, event organizers, or insurance providers to ensure the safety and well-being of the student athletes during sports participation.
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What is student athlete health information?
Student athlete health information includes medical history, current health condition, injuries, and any treatments received by student athletes.
Who is required to file student athlete health information?
Student athletes, their parents or guardians, and medical professionals are required to file student athlete health information.
How to fill out student athlete health information?
Student athletes can fill out health information forms provided by their school or sports organization, with help from their parents or guardians and medical professionals if needed.
What is the purpose of student athlete health information?
The purpose of student athlete health information is to ensure the safety and well-being of student athletes during sports activities by providing relevant medical information to coaches and staff.
What information must be reported on student athlete health information?
Information such as medical history, current health conditions, allergies, medications, injuries, and treatments received must be reported on student athlete health information.
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