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Lake Washington School District Middle School Sports Physical Examination Clearance Students name ___ (Last) (First) (MI)ASB fee paid: ___Gender:Family paid: ___MaleFemaleDate of Birth ___ Grade ___Sports

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How to fill out sports physical examinationclearance form

01

Obtain a copy of the sports physical examination clearance form from your school, sports team, or healthcare provider.

02

Fill out your personal information including name, date of birth, address, and contact information.

03

Provide your medical history information such as any pre-existing conditions, allergies, medications, and previous injuries.

04

Complete the physical examination section which may include height, weight, blood pressure, vision test, and evaluation of heart, lungs, abdomen, and musculoskeletal system.

05

Sign and date the form, and make sure a healthcare provider also signs and provides any necessary clearance or recommendations.

06

Submit the completed form to the appropriate entity designated by your school or sports team.

Who needs sports physical examinationclearance form?

01

Student athletes participating in school sports programs.

02

Athletes participating in organized sports leagues or competitions.

03

Individuals pursuing physical activities that require medical clearance.

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What is sports physical examination clearance form?

The sports physical examination clearance form is a document that certifies an athlete's fitness for participation in sports activities, ensuring they meet health and safety standards.

Who is required to file sports physical examination clearance form?

Typically, all student-athletes participating in organized sports at schools or recreational programs are required to file a sports physical examination clearance form.

How to fill out sports physical examination clearance form?

To fill out the form, the athlete or guardian should provide personal information, medical history, and the results of the physical examination conducted by a licensed healthcare provider.

What is the purpose of sports physical examination clearance form?

The purpose of the form is to assess the athlete's health status and identify any medical conditions that may pose a risk during sports participation.

What information must be reported on sports physical examination clearance form?

The form must report personal details, medical history, current medications, previous injuries, and the healthcare provider's assessment findings.

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