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IH SAA PRE-PARTICIPATION PHYSICAL EVALUATION SCHOOL: HISTORY Name: Address: Sex: Age: Date of Birth: City: Grade: Phone: () Phone: (Date:) Zip: Personal Physician: Previous school attended and dates:
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How to fill out ihsaa pre-participation physical evaluation:

01
Obtain a copy of the ihsaa pre-participation physical evaluation form from the appropriate source.
02
Review the form to ensure you understand all the sections and requirements.
03
Gather any necessary medical records or documentation that may be needed to complete the evaluation.
04
Complete the personal information section of the form, providing accurate details such as name, date of birth, and contact information.
05
Provide a detailed medical history, including any past illnesses, injuries, surgeries, or chronic conditions.
06
Fill out the section regarding current medications, including dosage and frequency.
07
Answer any questions regarding allergies, specifically to medications or other substances.
08
Complete the physical examination portion, which may involve measurements such as height, weight, blood pressure, and pulse.
09
Provide details regarding any recent illnesses, hospitalizations, or surgeries.
10
Sign and date the form, indicating that all the information provided is accurate and complete.

Who needs ihsaa pre-participation physical evaluation:

01
Student athletes who wish to participate in sports activities governed by the IHSAA.
02
Schools or clubs that are affiliated with the IHSAA and require athletes to undergo a pre-participation physical evaluation.
03
Coaches or administrators responsible for ensuring compliance with IHSAA regulations and guidelines regarding athlete safety and well-being.
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The IHSAA Pre-Participation Physical Evaluation is a medical screening process that helps determine if a student-athlete is physically fit to participate in sports activities.
All student-athletes who wish to participate in IHSAA-sanctioned sports are required to file an IHSAA Pre-Participation Physical Evaluation.
The IHSAA Pre-Participation Physical Evaluation form can be obtained from the school's athletic department or downloaded from the IHSAA website. It must be completed and signed by a licensed healthcare provider after conducting a thorough physical examination of the student-athlete.
The purpose of the IHSAA Pre-Participation Physical Evaluation is to identify any existing or potential medical conditions that could affect the student-athlete's ability to safely participate in sports activities. It helps ensure the health and well-being of student-athletes during athletic competition.
The IHSAA Pre-Participation Physical Evaluation form typically requires reporting of the student-athlete's medical history, current medical conditions, medications, allergies, vaccinations, previous injuries, and family medical history. It also includes a comprehensive physical examination, including measurements of height, weight, blood pressure, and range of motion.
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