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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

How to fill out pre-participation physical evaluation

How to fill out pre-participation physical evaluation

1. To fill out a pre-participation physical evaluation, follow these steps:
2. Obtain a copy of the evaluation form from the relevant authority, like your school or sports organization.
3. Read and understand the instructions provided at the beginning of the form.
4. Begin by entering your personal information, including your name, date of birth, address, and contact details.
5. Provide your medical history, including any past injuries, surgeries, known allergies, chronic medical conditions, medications, and vaccinations.
6. Answer the questionnaire section honestly, providing details about your family medical history and any current symptoms or concerns you may have.
7. If required, visit a healthcare provider for a physical examination. The provider will assess your overall health, check your vital signs, perform a physical examination, and discuss any concerns or limitations.
8. Once the examination is complete, the healthcare provider will complete the remaining sections of the evaluation form, including providing medical clearance if applicable.
9. Review the filled-out form to ensure all information is accurate and complete.
10. Submit the form to the designated authority within the specified timeframe.
11. Keep a copy of the filled-out form for your own records.

Who needs pre-participation physical evaluation?

1. Pre-participation physical evaluation is typically required for individuals participating in organized sports or certain physical activities.
2. The following groups of people may need to undergo a pre-participation physical evaluation:
3. - Student-athletes in middle school, high school, or college
4. - Amateur and professional athletes
5. - Individuals enrolling in sports clubs, leagues, or recreational programs
6. - Individuals participating in high-risk or contact sports
7. - Individuals with a history of certain medical conditions or injuries that may impact their participation in physical activities
8. It is important to consult the specific rules and regulations of the organization or institution you are associated with to determine if a pre-participation physical evaluation is necessary.

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What is pre-participation physical evaluation?

Pre-participation physical evaluation is a medical examination that assesses an individual's overall health and fitness before participating in a sport or physical activity.

Who is required to file pre-participation physical evaluation?

Athletes, particularly student-athletes, are usually required to file pre-participation physical evaluations before participating in sports.

How to fill out pre-participation physical evaluation?

Pre-participation physical evaluations are typically filled out by a licensed healthcare provider, such as a doctor or nurse practitioner, through a comprehensive examination of the individual's medical history and physical condition.

What is the purpose of pre-participation physical evaluation?

The purpose of pre-participation physical evaluation is to ensure the safety and well-being of individuals participating in sports or physical activities by identifying any potential health risks or conditions.

What information must be reported on pre-participation physical evaluation?

Information such as medical history, current medications, allergies, past injuries, family history of medical conditions, and physical examination findings must be reported on a pre-participation physical evaluation form.