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PARTICIPATION PHYSICAL EVALUATION MEDICAL HISTORY This MEDICAL HISTORY FORM must be completed annually by parent (or guardian) and student in order for the student to participate in athletic activities.

How to fill out preparticipation physical evaluation

How to fill out preparticipation physical evaluation

1. Step 1: Obtain the preparticipation physical evaluation form from your school or organization.
2. Step 2: Complete the personal information section of the form, including your name, date of birth, address, and emergency contact information.
3. Step 3: Provide information about your medical history, including any previous injuries, surgeries, chronic conditions, or medications you are currently taking.
4. Step 4: Answer the questions regarding your family medical history, such as any known heart conditions, sudden deaths, or other genetic disorders.
5. Step 5: Visit your healthcare provider to complete the physical examination portion of the form. They will assess your overall health, including vital signs, heart and lung function, musculoskeletal system, and neurological system.
6. Step 6: Your healthcare provider will also review and sign off on any necessary medical clearances or recommendations for participation in specific sports or activities.
7. Step 7: Submit the completed preparticipation physical evaluation form to your school or organization as per their instructions.
8. Step 8: Keep a copy of the form for your records.

Who needs preparticipation physical evaluation?

1. Preparticipation physical evaluation is typically needed by individuals who will be participating in organized sports or athletic activities.
2. This includes student-athletes at schools and colleges, participants in recreational leagues, and individuals joining sports clubs or teams.
3. It is also recommended for individuals who have specific health concerns or a history of medical conditions that may affect their ability to safely participate in physical activities.
4. It is best to consult with the specific organization or activity governing body to determine if a preparticipation physical evaluation is required.

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What is preparticipation physical evaluation?

Preparticipation physical evaluation is a medical assessment that helps determine if an individual is physically able to participate in a specific activity or sport.

Who is required to file preparticipation physical evaluation?

Athletes or individuals participating in organized sports or certain physical activities may be required to file preparticipation physical evaluation.

How to fill out preparticipation physical evaluation?

Preparticipation physical evaluation forms can be filled out by a licensed healthcare provider during a medical examination.

What is the purpose of preparticipation physical evaluation?

The purpose of preparticipation physical evaluation is to identify any underlying health conditions that may pose a risk during physical activity or sports.

What information must be reported on preparticipation physical evaluation?

Information such as medical history, current medications, allergies, previous injuries, and family medical history must be reported on preparticipation physical evaluation.