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PARTICIPATION PHYSICAL EVALUATION Ohio High School Athletic Association 20212022HISTORY FORM Note: Complete and sign this form (with your parents if younger than 18) before your appointment. Name:
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Start by obtaining a copy of the preparticipation physical evaluation history form from the appropriate organization or healthcare provider.
02
Read through the form carefully and familiarize yourself with the information that needs to be provided.
03
Begin filling out the form by entering your personal information such as name, date of birth, address, and contact details.
04
Next, provide details about your medical history, including any previous injuries, surgeries, or illnesses.
05
If you currently have any medical conditions or take any medications, make sure to mention them accurately.
06
Answer questions regarding your family history of certain medical conditions.
07
Provide information about your immunization history, including the dates of your vaccinations.
08
If you have any known allergies, list them along with the type of allergic reaction they cause.
09
Finally, review your completed form to ensure all information is accurate and legible before submitting it.
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Submit the filled-out preparticipation physical evaluation history form to the organization or healthcare provider as instructed.

Who needs preparticipation physical evaluation history?

01
Individuals participating in organized sports activities.
02
Student-athletes
03
Individuals joining a fitness or sports program
04
People planning to engage in strenuous physical activities
05
Those requiring medical clearance before starting a new exercise regimen
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Preparticipation physical evaluation history is a form that documents an individual's medical history, previous injuries, surgeries, and medications in relation to physical activity or sports participation.
Athletes or individuals participating in organized sports or physical activities are required to file preparticipation physical evaluation history.
Preparticipation physical evaluation history can be filled out by providing accurate and detailed information about medical history, past injuries, surgeries, medications, allergies, and any current health conditions.
The purpose of preparticipation physical evaluation history is to ensure the safety and well-being of individuals participating in sports or physical activities by identifying any potential health risks or conditions that may affect their participation.
Information such as medical history, previous injuries, surgeries, medications, allergies, current health conditions, and any restrictions or recommendations from healthcare providers must be reported on preparticipation physical evaluation history.
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