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Washington High School Athletic Department Concussion Test (FB only) ___ Clearance Form Section 1 Athletes Name:Section 2Last:First:DOB: Address:MI:(MM/DD/YYY)City:St:Zip:Home Phone: ()/Other: ()Check
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How to fill out form preparticipation physical examination
01
Obtain the preparticipation physical examination form from the appropriate organization or healthcare provider.
02
Fill out all personal information accurately, including name, date of birth, address, and emergency contact information.
03
Provide detailed medical history, including past injuries, allergies, medications, and chronic conditions.
04
Answer all questions regarding current health status, including any recent illnesses, surgeries, or hospitalizations.
05
Complete all sections related to physical exam findings, including measurements such as height, weight, blood pressure, and vision.
06
Sign and date the form, indicating that all information provided is accurate to the best of your knowledge.
07
Submit the completed form to the appropriate party, such as a school or sports organization, before participating in any physical activities.
Who needs form preparticipation physical examination?
01
Athletes participating in organized sports or physical activities usually need to complete a preparticipation physical examination form.
02
Schools, sports organizations, and healthcare providers may also require individuals to undergo a physical exam before engaging in certain activities.
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What is form preparticipation physical examination?
The preparticipation physical examination form is a document that assesses an individual's medical history and current physical condition before participating in sports or other physical activities.
Who is required to file form preparticipation physical examination?
Athletes or individuals looking to participate in sports or physical activities are usually required to file a preparticipation physical examination form.
How to fill out form preparticipation physical examination?
The form typically requires information about personal medical history, current physical condition, and any previous injuries. It is usually filled out by a healthcare professional.
What is the purpose of form preparticipation physical examination?
The purpose of the form is to ensure that individuals are healthy and capable of safely participating in physical activities without risking their health or safety.
What information must be reported on form preparticipation physical examination?
The form usually requires information about medical history, previous injuries, current medications, allergies, and any existing health conditions.
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