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This form is to be maintained by the healthcare provider completing the physical exam and should not be shared with schools. It includes a medical eligibility form for submission to schools, detailing necessary medical history, current health status, and specific questions related to physical and sports participation. The evaluation must be completed by a licensed healthcare provider who has met the requirements set by the New Jersey Department of Education.

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How to fill out preparticipation physical evaluation form

1. Obtain the preparticipation physical evaluation form from your healthcare provider or school.
2. Fill in personal information at the top of the form, including name, date of birth, and contact information.
3. List any medical history, including surgeries, chronic conditions, or ongoing treatments.
4. Complete the section regarding current medications and allergies.
5. Answer the health questions, which may include inquiries about heart problems, fainting, or other relevant health issues.
6. Provide details regarding any previous injuries or concussions.
7. Sign the form acknowledging the information is accurate and complete.
8. Have a physician perform a physical examination as part of the evaluation process.
9. Ensure the physician signs and dates the form after completing the examination.
10. Submit the completed form to the designated school or sports organization.

Who needs preparticipation physical evaluation form?

1. Students participating in school sports.
2. Athletes involved in competitive sports.
3. Individuals seeking to join recreational sports leagues.
4. Patients with specific health concerns wanting to participate in physical activities.

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What is preparticipation physical evaluation form?

The preparticipation physical evaluation form is a document that assesses an athlete's health and readiness to participate in sports or physical activities. It typically includes a medical history and a physical examination to identify any conditions that might affect the athlete's ability to participate safely.

Who is required to file preparticipation physical evaluation form?

Athletes who wish to participate in organized sports at schools, colleges, or other athletic organizations are generally required to file a preparticipation physical evaluation form. This includes students from elementary through high school and collegiate athletes.

How to fill out preparticipation physical evaluation form?

To fill out the preparticipation physical evaluation form, an athlete should provide accurate information about their medical history, including any past injuries, surgeries, or medical conditions. Additionally, a physical examination by a qualified healthcare provider is usually required to assess the athlete's current health status.

What is the purpose of preparticipation physical evaluation form?

The purpose of the preparticipation physical evaluation form is to ensure that athletes are physically fit to participate in sports activities, to identify any health risks, and to provide necessary medical recommendations to safeguard the athlete's health.

What information must be reported on preparticipation physical evaluation form?

The information that must be reported on the preparticipation physical evaluation form typically includes personal information, medical history, current medications, allergies, a physical examination report, and any previous injuries or conditions that may affect performance.