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UNIVERSITY OF WASHINGTON
PARTICIPATION PHYSICAL EVALUATION
MEDICAL HISTORY FORM
(Note: This form is to be filled out by the patient and parent prior to seeing the physician. The physician should keep
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How to fill out university of washington preparticipation
01
Obtain the preparticipation form from the University of Washington.
02
Read the instructions carefully to understand the required information and any supporting documentation needed.
03
Fill out the personal information section, including name, date of birth, contact details, and emergency contact.
04
Provide your medical history, including any past injuries, surgeries, or other relevant medical conditions.
05
List any current medications you are taking and provide information on any allergies.
06
Complete the insurance information section, including policy number and provider details.
07
If applicable, fill out the section related to any previous participation in intercollegiate athletics.
08
Sign and date the form to acknowledge the accuracy of the information provided.
09
Attach any necessary supporting documentation, such as medical records or clearance forms.
10
Review the completed form for any errors or missing information before submitting it to the University of Washington.
Who needs university of washington preparticipation?
01
University of Washington preparticipation is required for any individual who plans to participate in intercollegiate athletics at the University of Washington. This includes student-athletes, coaches, and other athletic staff members involved in the athletic programs at the university.
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What is university of washington preparticipation?
The University of Washington preparticipation is a required documentation process for students intending to participate in intercollegiate athletics, ensuring they meet health and safety standards before engaging in sports.
Who is required to file university of washington preparticipation?
All student-athletes who want to participate in intercollegiate sports at the University of Washington are required to file the preparticipation paperwork.
How to fill out university of washington preparticipation?
To fill out the University of Washington preparticipation, students must complete the designated forms provided by the athletic department, including medical history and physical examination pages, and submit them to the appropriate office.
What is the purpose of university of washington preparticipation?
The purpose of the University of Washington preparticipation is to identify any medical issues that may pose a risk to the student-athlete's health while participating in sports and to ensure compliance with NCAA regulations.
What information must be reported on university of washington preparticipation?
Students must report information regarding their medical history, any existing health conditions, medications, and the results of a physical examination conducted by a licensed healthcare professional.
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