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Rev. 5/2015 PARTICIPATION PHYSICAL EVALUATION PHYSICAL EXAMINATION Students Name Sex Age Date of Birth Height Weight Pulse BP / (/, /) Vision R20/ L20/ Corrected: Y N Pupils: Equal Unequal Physical
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How to fill out preparticipation physical evaluation

How to fill out preparticipation physical evaluation:
01
Begin by gathering all necessary forms and paperwork. This typically includes the preparticipation physical evaluation form, medical history questionnaire, and any additional consent forms that may be required.
02
Carefully read and understand each section of the preparticipation physical evaluation form. It is important to provide accurate and detailed information about your medical history, previous injuries, medications, allergies, and any existing conditions.
03
Consult your healthcare provider if you have any questions or concerns about specific sections of the form. They can provide guidance and clarification to ensure accurate completion.
04
Take your time to complete each section thoroughly and legibly. Remember to include your personal details, such as name, date of birth, address, and contact information.
05
Provide an accurate account of your medical history, including any previous surgeries, hospitalizations, or chronic conditions. If applicable, include information about any ongoing treatments or medications.
06
Ensure you understand the different sections related to physical examination, such as vital signs, vision and hearing tests, musculoskeletal assessment, cardiovascular evaluation, and others. Follow the instructions for each section carefully and provide accurate measurements and observations.
07
If there are any specific requirements for certain activities or sports, clearly indicate your capabilities and limitations that may affect your participation.
08
Sign and date the form once you have completed all sections. Make sure to review your answers for accuracy and completeness before submitting the form.
09
Keep a copy of the completed preparticipation physical evaluation for your reference, and provide the original copy to the designated authority or organization responsible for reviewing and approving the form.
Who needs preparticipation physical evaluation:
01
Student-athletes: Preparticipation physical evaluations are often required for students who participate in organized school or collegiate sports programs. These evaluations help to identify any potential health issues or physical limitations that may affect the student's ability to safely participate.
02
Recreation and community sports participants: Some recreational or community sports programs may also require individuals to undergo a preparticipation physical evaluation. This helps to promote safety and minimize the risks associated with physical activity.
03
Individuals starting a new exercise program: If you are planning to start a new exercise program, particularly if it involves high-intensity or strenuous activities, it is recommended to undergo a preparticipation physical evaluation. This helps to ensure that you are in good health and able to safely engage in the planned activities.
04
Those with certain medical conditions: Individuals with certain medical conditions or a history of previous injuries may be advised to undergo a preparticipation physical evaluation before participating in physical activities. This helps to assess their readiness and identify any precautions or modifications that may be necessary to accommodate their specific needs.
Overall, both student-athletes and individuals participating in sports or exercise programs can benefit from preparticipation physical evaluations as they help to promote the health, well-being, and safety of individuals engaging in physical activities.
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