Get the free Preparticipation Physical Examination History Form

This form is required to be completed before attending a physical examination for participation in sports. It collects information about the individual\'s health history, including medical conditions, surgeries, medications, allergies, and mental health assessments. The form ensures that athletes are medically eligible to participate in sports safely.

How to fill out preparticipation physical examination history

How to fill out preparticipation physical examination history

1. Gather necessary personal information, including the athlete's name, age, and contact information.
2. Document any known medical history, including past illnesses, surgeries, and ongoing medical conditions.
3. List any medications the athlete is currently taking, including over-the-counter and prescription drugs.
4. Record any allergies or reactions to medications and other substances.
5. Include information on family medical history, particularly concerning heart conditions and other hereditary diseases.
6. Note any previous injuries or concussions, including the date and severity of those incidents.
7. Assess the athlete's physical fitness level, including participation in regular exercise and any recent physical activity changes.
8. Include questions about diet, hydration, and substance use (e.g., alcohol, tobacco, performance-enhancing drugs).
9. Complete the form by obtaining a signature from the athlete (or parent/guardian if underage) and the examining physician.

Who needs preparticipation physical examination history?

1. Student-athletes participating in school sports.
2. Athletes joining a sports club or organization.
3. Individuals planning to engage in competitive sports.
4. Participants in recreational sports activities, especially with higher injury risks.
5. Military recruits or candidates for certain jobs requiring physical fitness.

For pdfFiller’s FAQs

How do I edit preparticipation physical examination history online?

pdfFiller not only allows you to edit the content of your files but fully rearrange them by changing the number and sequence of pages. Upload your preparticipation physical examination history to the editor and make any required adjustments in a couple of clicks. The editor enables you to blackout, type, and erase text in PDFs, add images, sticky notes and text boxes, and much more.

Can I create an electronic signature for the preparticipation physical examination history in Chrome?

You can. With pdfFiller, you get a strong e-signature solution built right into your Chrome browser. Using our addon, you may produce a legally enforceable eSignature by typing, sketching, or photographing it. Choose your preferred method and eSign in minutes.

How do I complete preparticipation physical examination history on an iOS device?

pdfFiller has an iOS app that lets you fill out documents on your phone. A subscription to the service means you can make an account or log in to one you already have. As soon as the registration process is done, upload your preparticipation physical examination history. You can now use pdfFiller's more advanced features, like adding fillable fields and eSigning documents, as well as accessing them from any device, no matter where you are in the world.

What is preparticipation physical examination history?

Preparticipation physical examination history is a comprehensive assessment of an individual's medical history and physical readiness before participating in sports or athletic activities, which aims to identify any health issues that may affect performance or lead to injury.

Who is required to file preparticipation physical examination history?

Athletes participating in school sports, recreational sports programs, or organized competitive sports are typically required to file their preparticipation physical examination history.

How to fill out preparticipation physical examination history?

To fill out the preparticipation physical examination history, individuals should provide accurate and complete information regarding their medical history, including past injuries, surgeries, illnesses, medications, allergies, and any other relevant health information.

What is the purpose of preparticipation physical examination history?

The purpose of preparticipation physical examination history is to ensure that athletes are physically fit to safely participate in sports, to identify any potential health risks, and to take preventive measures to avoid injuries.

What information must be reported on preparticipation physical examination history?

Information that must be reported includes personal details, medical history, family health history, current medications, any existing medical conditions, and previous injuries or surgeries.