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SPORTS PARTICIPATION MEDICAL EXAMINATION To the Health Care Provider Please complete and sign *Mandated Screening/Test under CT State Law ___ Date of Birth: ___Date of Exam: ___Name:General Exam Normal
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Anyone who wishes to participate in sports activities organized by a league or organization that requires a medical examination prior to participation.
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The filesleagueathleticscomtextdocumentssports participation medical examination is a form that collects medical information and clearance for participating in sports.
All student athletes are required to file the filesleagueathleticscomtextdocumentssports participation medical examination form.
The filesleagueathleticscomtextdocumentssports participation medical examination form should be filled out by a licensed healthcare provider with the necessary medical information.
The purpose of the filesleagueathleticscomtextdocumentssports participation medical examination is to ensure that student athletes are medically cleared to participate in sports activities.
The filesleagueathleticscomtextdocumentssports participation medical examination must include medical history, current health status, and any restrictions or recommendations for sports participation.
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