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TMA/TSSAM PARTICIPATION MEDICAL EVALUATION FORM
Personal History
NameSexAgeGradeDOB
Sport(s)School
Personal Physician
Address
Telephone
Have you ever had a participation physical before? ___ Yes ___
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How to fill out 2009-10 pre-participation medical evaluation
How to fill out 2009-10 pre-participation medical evaluation
01
Obtain a copy of the 2009-10 pre-participation medical evaluation form.
02
Fill out all personal information, including name, date of birth, address, and contact information.
03
Provide detailed medical history, including any past injuries, surgeries, or chronic conditions.
04
List current medications being taken, including dosage and frequency.
05
Have a healthcare provider complete the physical examination portion of the form, including vital signs and any recommendations for clearance or further evaluation.
Who needs 2009-10 pre-participation medical evaluation?
01
Athletes participating in sports or physical activities at schools, colleges, or other institutions.
02
Individuals seeking medical clearance for participation in organized sports leagues or competitions.
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What is 10 pre-participation medical evaluation?
It is a medical evaluation conducted before participating in a specific activity or sport to assess an individual's overall health and fitness.
Who is required to file 10 pre-participation medical evaluation?
Individuals who are planning to participate in certain activities or sports may be required to file a pre-participation medical evaluation.
How to fill out 10 pre-participation medical evaluation?
To fill out a pre-participation medical evaluation, individuals need to provide accurate information about their medical history, current health status, and any relevant medical conditions.
What is the purpose of 10 pre-participation medical evaluation?
The purpose of a pre-participation medical evaluation is to ensure that individuals are healthy and fit enough to safely participate in a specific activity or sport.
What information must be reported on 10 pre-participation medical evaluation?
Information about medical history, current health status, any relevant medical conditions, medications, and allergies may need to be reported on a pre-participation medical evaluation.
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