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Student Health ClinicAthletic Participation Exam
To be completed by the student athleteName:___Date of Birth: ___ Today's Date: ___Cardiac History:
1. Have you ever had chest pain, tightness, discomfort
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How to fill out student sports preparticipation exam

How to fill out student sports preparticipation exam
01
Obtain the preparticipation exam form from the school or organization overseeing sports participation.
02
Complete the personal information section, including name, date of birth, address, and emergency contact information.
03
Provide a detailed medical history, including any past injuries, surgeries, or medical conditions.
04
Disclose any current medications being taken, including dosage and frequency.
05
Have a licensed healthcare provider perform a physical examination, documenting vital signs, height, weight, and general health status.
06
Ensure all required signatures are obtained, including those of the student, parent/guardian, and healthcare provider.
07
Return the completed form to the appropriate school or organization before the deadline.
Who needs student sports preparticipation exam?
01
Student athletes participating in organized sports programs.
02
Schools, athletic departments, and organizations requiring proof of medical clearance for sports participation.
03
Coaches and trainers responsible for the health and safety of student athletes.
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What is student sports preparticipation exam?
The student sports preparticipation exam is a medical evaluation to assess the physical readiness and health of students before participating in sports activities.
Who is required to file student sports preparticipation exam?
All students who wish to participate in sports activities are required to file a student sports preparticipation exam.
How to fill out student sports preparticipation exam?
Students can fill out the student sports preparticipation exam form with the help of a healthcare provider or school nurse, providing accurate information about their medical history and current health status.
What is the purpose of student sports preparticipation exam?
The purpose of the student sports preparticipation exam is to ensure that students are physically fit to safely participate in sports activities and to identify any potential health risks that may require medical attention.
What information must be reported on student sports preparticipation exam?
The student sports preparticipation exam form typically includes information such as medical history, current medications, allergies, previous injuries, and contact information for emergency situations.
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