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Physical Exam for Athletes 1350 Cherry Avenue, Simi Valley, CA 93065 (805) 5224667 Athletes Name: ___ DOB: ___/___/___ Grade: ___ Address: ___ City: ___ Zip: ___ Home Phone: ___ Emergency Phone: ___
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How to fill out athletic precautionary statement

01
Begin by gathering personal information, including the athlete's name, date of birth, and contact details.
02
Ensure you have information about the athlete's medical history, including any previous injuries or health conditions.
03
Clearly state any specific precautions that need to be taken based on the athlete's health status.
04
Obtain signatures from both the athlete (and a parent or guardian if the athlete is underage) to confirm that the precautions are understood.
05
Submit the completed form to the relevant athletic authority or organization.

Who needs athletic precautionary statement?

01
Any athlete participating in sports activities, especially those with medical histories or prior injuries.
02
Coaches, trainers, and sports organizations that require documentation for safety and liability purposes.
03
Parents or guardians of minor athletes to ensure proper precautions are taken.
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An athletic precautionary statement is a formal document that outlines specific health and safety considerations or precautions that must be taken by athletes, especially when they have pre-existing conditions or are at risk for certain injuries.
Athletes participating in certain sports or activities, coaches, and sometimes athletic administrators are required to file an athletic precautionary statement to ensure safety and compliance with athletic regulations.
To fill out an athletic precautionary statement, the individual must provide personal information, details about any pre-existing medical conditions, current medications, and any specific precautions required during athletic participation.
The purpose of the athletic precautionary statement is to ensure the safety of athletes by disclosing important health information that can impact their participation in sports, helping to prevent injuries or health crises.
The information that must be reported includes personal identification details, medical history, any known allergies, current medications, and specific health-related precautions advised by medical professionals.
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