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PARTICIPATION PHYSICAL EVALUATION MEDICAL HISTORYREVISED 1609This MEDICAL HISTORY FORM must be completed annually by parent (or guardian) and student in order for the student to participate in athletic
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How to fill out pre-participation physical evaluation

How to fill out pre-participation physical evaluation
01
To fill out a pre-participation physical evaluation, follow these steps:
02
Obtain a copy of the evaluation form from the appropriate organization or medical professional.
03
Begin by providing your personal information, such as your name, date of birth, and contact details.
04
Answer any general medical history questions, including past illnesses, allergies, surgeries, or hospitalizations.
05
Provide information about your current medications or supplements you are taking.
06
Answer specific questions related to different body systems, such as cardiovascular, pulmonary, musculoskeletal, etc. Be as accurate and detailed as possible.
07
If you have any existing medical conditions or health concerns, ensure to provide detailed information about them.
08
Fill out any additional sections or questions related to family medical history, immunization records, or other relevant health information.
09
If required, complete any sections related to vision, hearing, or specific sport-related questions.
10
Finally, review the entire form to ensure all sections are accurately filled out and sign and date the document as required.
11
Submit the completed form to the appropriate organization or medical professional as directed.
Who needs pre-participation physical evaluation?
01
Pre-participation physical evaluation is typically needed by individuals who are participating in physical activities or sports. These may include:
02
- Student-athletes in schools or colleges
03
- Professional athletes
04
- Recreational athletes
05
- Individuals participating in organized sports or competitions
06
- Individuals joining fitness or exercise programs
07
- Individuals undergoing specific medical treatments or procedures where physical evaluation is required
08
Before participating in any physical activity, it is important to consult with the relevant organization or medical professional 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 to assess an individual's health status before participating in a certain activity or sport.
Who is required to file pre-participation physical evaluation?
Athletes and individuals planning to participate in organized sports or physical activities may be required to file a pre-participation physical evaluation.
How to fill out pre-participation physical evaluation?
Pre-participation physical evaluations can be filled out by a licensed healthcare provider such as a physician or nurse practitioner.
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 physical activities by identifying any underlying health conditions.
What information must be reported on pre-participation physical evaluation?
Pre-participation physical evaluations typically include medical history, vital signs, physical examination findings, and clearance for participation in sports.
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