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Maratha Participation Physical Evaluation History Form (Note: This form is to be filled out by the patient and parent prior to seeing the physician) Date of Exam ___ Name ___ Date of Birth ___ Gender
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How to fill out wwwmshsaaorgresourcespdfpre-participation physical evaluation history

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DOWNLOAD the Pre-Participation Physical Evaluation History form from www.mshsaa.org/resources/pdf/pre-participation_physical_evaluation_history.pdf.
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OPEN the downloaded file using a PDF reader such as Adobe Acrobat Reader.
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PRINT the form using a printer.
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FILL OUT the form completely and accurately, following the instructions provided in each section.
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PROVIDE all required personal and medical information, including past medical history, current medical conditions, and any medications being taken.
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MAKE SURE to sign and date the form.
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BRING the completed form to the appropriate organization or authority as specified by the requirements, such as a school or sports association.
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RETAIN a copy of the completed form for your records.

Who needs wwwmshsaaorgresourcespdfpre-participation physical evaluation history?

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Students or athletes who wish to participate in athletic activities governed by the Missouri State High School Activities Association (MSHSAA) need to fill out the Pre-Participation Physical Evaluation History form. This form is required to ensure that participants are in good health and have no medical conditions that may prevent them from safely engaging in physical activities.
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The pre-participation physical evaluation history form is a document used to collect medical history information from student-athletes before they participate in sports activities.
Student-athletes who want to participate in sports activities are required to file the pre-participation physical evaluation history form.
The form can be filled out by providing accurate medical history information, signed by a licensed healthcare provider, and submitted to the appropriate school or sports organization.
The purpose of the form is to ensure that student-athletes are healthy and fit to participate in sports activities, and to identify any potential health risks or conditions that may affect their participation.
The form typically includes questions about medical conditions, medications, allergies, surgeries, and any previous injuries that may impact sports participation.
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