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PARTICIPATION PHYSICAL EVALUATION 20242025 SCHOOL YEAR Page 1 of 3FALL 2024, SPRING 2025 and SUMMER 2025To be completed by the Parent for School: STUDENT NAME:DOB: ___AGE: ___GENDER: ___HOME ADDRESS:
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How to fill out pre-participation physical evaluation 4

01
Schedule an appointment with a healthcare provider familiar with pre-participation physical evaluations.
02
Bring any necessary forms, such as medical history questionnaires, to the appointment.
03
Be prepared to discuss your medical history, including any past injuries or conditions.
04
Expect to undergo various physical exams, such as checks of your heart, lungs, flexibility, and strength.
05
Follow any recommendations or restrictions given by the healthcare provider based on the evaluation results.

Who needs pre-participation physical evaluation 4?

01
Athletes participating in organized sports.
02
Individuals starting a new exercise program.
03
Those with underlying medical conditions that may impact physical activity.
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Pre-participation physical evaluation 4 is a medical evaluation conducted before participating in certain activities or sports to assess an individual's health and physical readiness.
Student-athletes and participants in organized sports or physical activities are typically required to file pre-participation physical evaluation 4.
Pre-participation physical evaluation 4 is typically filled out by a licensed healthcare provider, who will assess the individual's medical history, perform a physical examination, and complete the necessary forms.
The purpose of pre-participation physical evaluation 4 is to ensure the safety and well-being of individuals participating in sports or physical activities by assessing their overall health and physical condition.
Information such as medical history, current medications, allergies, previous injuries, family history of certain medical conditions, and physical examination findings must be reported on pre-participation physical evaluation 4.
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