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West Virginia SECONDARY SCHOOL ACTIVITIES COMMISSION Rt. 9, Box 76 Parkersburg, WV 26101 ATHLETIC Participation/PARENTAL CONSENT/Physician IS CERTIFICATE FORM (Separate form required each school!
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How to fill out wv sports physical form

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How to fill out the WV sports physical form:

01
Obtain the form: The WV sports physical form can usually be found on the official website of the West Virginia Secondary School Activities Commission (WVSSAC) or through your school's athletic department.
02
Read the instructions: Before filling out the form, it is essential to thoroughly read and understand the instructions provided. This will ensure that you provide all the necessary information correctly.
03
Personal information: Start by entering your personal details, such as your full name, date of birth, address, phone number, and emergency contact information. Make sure to double-check the accuracy of this information.
04
Medical history: The form will have a section to record your medical history. You will need to answer questions regarding any previous illnesses, surgeries, or medical conditions you may have had. It is important to be honest and thorough when providing this information as it can impact your participation and safety in sports.
05
Immunization record: In this section, you will need to provide the dates and details of any immunizations you have received. Usually, you will be required to include information for vaccines such as tetanus, MMR (measles, mumps, and rubella), and any other relevant vaccinations.
06
Physical examination: The WV sports physical form will include an area for a healthcare professional to conduct a thorough physical examination. You will need to visit a qualified healthcare provider who will assess your overall health, including checking your vital signs, vision, and musculoskeletal system. Allow sufficient time for this appointment.
07
Physician's endorsement: After your physical examination, the healthcare provider will complete and sign the form, endorsing your fitness for participation in sports activities. Ensure that all necessary information, including the provider's credentials and contact information, is filled out accurately to avoid any complications.
08
Parental consent: If you are under 18 years old, you will need parental or guardian consent. Make sure to have a parent or guardian sign the form in the designated section.
09
Submitting the form: Once you have filled out the form completely and accurately, you will need to submit it to the appropriate party. This can be your school's athletic department, coach, or designated personnel responsible for collecting these forms.

Who needs the WV sports physical form?

The WV sports physical form is typically required for student-athletes who wish to participate in sports activities organized by schools or leagues affiliated with the WVSSAC. This includes both middle school and high school students involved in sports programs such as basketball, football, soccer, track and field, and more. It is important to check with your school or athletic department to determine if the form is required and the specific deadline for submission.
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The WV sports physical form is a document that records the medical history and physical examination of a student athlete.
All student athletes participating in sports in West Virginia are required to file the WV sports physical form.
The WV sports physical form should be filled out by a licensed healthcare provider after conducting a physical examination of the student athlete.
The purpose of the WV sports physical form is to ensure that student athletes are healthy and physically able to participate in sports activities.
The WV sports physical form requires information such as medical history, height, weight, vital signs, and clearance for participation in sports.
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