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UTAH VALLEY UNIVERSITY COMPETITIVE SPORTS
Participation Physical Exam 20242025
Athlete Portion: (Please fill out entire front page BEFORE seeing the physician.)
Name:
Sport:Birthday:Age:Address:Date
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How to fill out preparticipation physical evaluation page

How to fill out preparticipation physical evaluation page
01
Obtain the preparticipation physical evaluation form from the organization requiring it.
02
Fill out personal information such as name, date of birth, address, and emergency contact information.
03
Provide detailed medical history including any past injuries or illnesses.
04
Complete the section on current medications and allergies.
05
Answer questions about any previous surgeries or hospitalizations.
06
Include information on any existing medical conditions such as asthma or diabetes.
07
Sign and date the form to certify the accuracy of the information provided.
Who needs preparticipation physical evaluation page?
01
Athletes participating in organized sports or physical activities.
02
Individuals enrolling in sports programs or camps.
03
Students trying out for school sports teams.
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What is preparticipation physical evaluation page?
Preparticipation physical evaluation page is a form that collects information about an individual's medical history, current health status, and physical abilities in order to assess their readiness to participate in a specific activity or sport.
Who is required to file preparticipation physical evaluation page?
Anyone who wishes to participate in a specific activity or sport may be required to file a preparticipation physical evaluation page, depending on the rules and regulations of the organization overseeing the activity.
How to fill out preparticipation physical evaluation page?
Preparticipation physical evaluation pages can typically be filled out by providing information about medical history, current health conditions, medications, allergies, and any past injuries. It may also involve physical examinations conducted by a healthcare provider.
What is the purpose of preparticipation physical evaluation page?
The purpose of preparticipation physical evaluation page is to ensure the health and safety of individuals participating in activities or sports by identifying any potential medical concerns or conditions that may affect their ability to participate.
What information must be reported on preparticipation physical evaluation page?
Information that may need to be reported on a preparticipation physical evaluation page includes medical history, current health status, medications being taken, allergies, past injuries, and any restrictions or limitations to physical activity.
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