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PISA COMPREHENSIVE INITIAL
PARTICIPATION PHYSICAL EVALUATION
INITIAL EVALUATION: Prior to any student participating in Practices, InterSchool Practices, Scrimmages, and/or Contests,
at any PISA member
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01
Obtain a copy of the CIPPE form 2023 CIPPE from the relevant organization or website.
02
Fill out personal information such as name, date of birth, address, and contact details.
03
Provide details of any medical conditions, allergies, or medications being taken.
04
Fill out the medical history section, including any past surgeries or hospitalizations.
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Complete the immunization history section, documenting any vaccinations received.
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07
Submit the completed CIPPE form to the appropriate party as required.
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