WebAug 15, 2000 · A survey of state high school athletic associations in the 50 states and Washington, D.C., revealed that eight states did not offer an approved history and physical examination questionnaire to ... WebI have examined the above-named student and completed the preparticipation physical evaluation. The athlete does not present apparent clinical contraindications to practice and participate in the sport(s) as outlined above. A copy of the physical exam is on record in my office and can be made available to the school at the request of the parents.
ATHLETIC PHYSICAL EXAMINATION FORM - Lakeland …
Web2. Complete the Physical Examination Form (page 3) AND SIGN the bottom of page 3. 3. Complete the Medical Eligibility Form (page 4) AND SIGN page 4. NOTE: Two signatures are required by the healthcare provider! The PPE form becomes part of the student's record at their school and should not be sent to the KSHSAA. SCHOOL ADMINISTRATORS 1. WebNorth Carolina High School Athletic Association flights from porto alegre to iguazu
PRE-PARTICIPATION PHYSICAL EVALUATION FOR ATHLETICS
WebThe physical examination form must be signed by a practicing physician, physician assistant, or nurse practitioner. If a student athlete has been injured in practice and/or competition, the nature of which required medical attention, the WebThe pre-participation physical evaluation consists of four parts: History Form (page 1 & 2), Physical Examination Form (page 3), Supplemental History Form for Athletes with Special Needs (page 4) and Medical Eligibility Form (page 5). The Medical Eligibility Form (page 5) is the only form that should be submitted to a school. Webabove -named student and completed the pre participation physical evaluation. The athlete does not present apparent clinical contraindications to practice and participate in the sport(s) as outlined above. A copy of the physical exam is on record in my office and can be made available to the school at the request of the parents. If flights from port of spain