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PREPARTICIPATION PHYSICAL EVALUATIONHISTORY FORM
(Note: This form is to be filled out by the patient and parent prior to seeing the physician. The physician should keep a copy of this form in the
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How to fill out pre-participation physical evaluation

How to fill out pre-participation physical evaluation
01
Obtain the necessary paperwork from the appropriate organization or institution requiring the evaluation.
02
Schedule an appointment with a healthcare provider who is qualified to perform pre-participation physical evaluations.
03
Bring the necessary forms and any relevant medical history or documentation to the appointment.
04
Complete the necessary assessments and examinations as outlined in the evaluation form.
05
Follow any additional instructions provided by the healthcare provider, such as follow-up appointments or additional testing.
06
Ensure that all sections of the form are filled out accurately and completely before submitting it to the appropriate authority.
Who needs pre-participation physical evaluation?
01
Athletes participating in organized sports activities.
02
Students participating in school sports programs.
03
Individuals starting a new fitness or exercise regimen.
04
People with certain medical conditions or risk factors that may affect their ability to participate in physical activities safely.
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What is pre-participation physical evaluation?
Pre-participation physical evaluation is a health assessment conducted before an individual participates in sports or physical activities to ensure they are physically fit and to identify any potential health issues.
Who is required to file pre-participation physical evaluation?
Typically, student athletes, participants in organized sports, and individuals undertaking physical activities are required to file a pre-participation physical evaluation.
How to fill out pre-participation physical evaluation?
To fill out a pre-participation physical evaluation, individuals should complete a detailed questionnaire regarding their medical history, undergo a physical examination by a qualified healthcare provider, and obtain the necessary signatures.
What is the purpose of pre-participation physical evaluation?
The purpose of pre-participation physical evaluation is to ensure the safety and health of participants by identifying any medical concerns that could affect their ability to safely engage in sports or physical activities.
What information must be reported on pre-participation physical evaluation?
Important information that must be reported includes personal medical history, any previous injuries, current medications, allergies, and relevant family medical history.
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