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PARTICIPATION PHYSICAL EVALUATION (Page 1 of 4)This medical history form should be retained by the healthcare provider and/or parent. Athletic Physicals in Polk County Public Schools are valid for
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How to fill out preparticipation physical evaluation page
How to fill out preparticipation physical evaluation page
01
Start by providing personal information such as name, date of birth, and contact information.
02
Fill out any medical history information including past illnesses, injuries, surgeries, and current medications.
03
Include details on any allergies or medical conditions that may affect participation in activities.
04
Answer questions about your family medical history to provide a clear picture of potential risk factors.
05
Sign and date the form to confirm that all information provided is accurate.
Who needs preparticipation physical evaluation page?
01
Preparticipation physical evaluation pages are typically required for student athletes before participating in sports activities.
02
Additionally, individuals participating in certain work-related physical activities may also be required to fill out this form.
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What is preparticipation physical evaluation page?
Preparticipation physical evaluation page is a form used to assess an individual's health status before participating in physical activities or sports.
Who is required to file preparticipation physical evaluation page?
Athletes or individuals planning to participate in physical activities or sports are required to file preparticipation physical evaluation page.
How to fill out preparticipation physical evaluation page?
To fill out preparticipation physical evaluation page, one must provide accurate information about their medical history, current health status, and undergo a physical examination by a healthcare provider.
What is the purpose of preparticipation physical evaluation page?
The purpose of preparticipation physical evaluation page is to ensure that individuals are physically fit to participate in activities or sports and to identify any potential health risks or conditions.
What information must be reported on preparticipation physical evaluation page?
Information such as medical history, current medications, allergies, previous injuries, and family history of medical conditions must be reported on preparticipation physical evaluation page.
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