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MONTEBELLO UNIFIED SCHOOL DISTRICT ATHLETIC HEALTH HISTORY FORM Sport: ___ Birthdate: ___ To be completed, reviewed and signed by both parent/guardian and examining physician. ___ Student Name___

How to fill out athletic health history form

How to fill out athletic health history form

1. Begin with personal information: Fill out your name, age, gender, and contact details.
2. Provide emergency contact information: Include the name and phone number of a person to contact in case of an emergency.
3. Complete medical history: List any past injuries, surgeries, or current medical conditions.
4. Include relevant family medical history: Note any family history of health issues that could be related to athletic performance.
5. Detail medications: List any prescription or over-the-counter medications you are currently taking.
6. Answer questions about allergies: Indicate any known allergies to medications, foods, or environmental factors.
7. Sign and date the form: Ensure that you acknowledge the information is accurate and complete.

Who needs athletic health history form?

1. Athletes participating in school sports programs.
2. Participants in recreational sports leagues.
3. Individuals trying out for competitive teams.
4. Anyone undergoing a fitness assessment or beginning a new exercise program.

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What is athletic health history form?

The athletic health history form is a document that collects information about an athlete's medical history to ensure they are fit for participation in sports activities.

Who is required to file athletic health history form?

Typically, all student-athletes participating in school sports or organized athletic programs are required to file an athletic health history form.

How to fill out athletic health history form?

To fill out the athletic health history form, one should provide accurate and complete information regarding personal medical history, current health status, previous injuries, and any medications being taken.

What is the purpose of athletic health history form?

The purpose of the athletic health history form is to assess an athlete's medical fitness for participation in sports, identify potential health risks, and ensure the safety of the athlete.

What information must be reported on athletic health history form?

The information that must be reported on the athletic health history form includes personal identification details, past injuries, surgeries, chronic illnesses, medications, and family medical history.