Athletic physical forms
[PDF File]NORTH CAROLINA HIGH SCHOOL ATHLETIC ASSOCIATION …
https://info.5y1.org/athletic-physical-forms_1_589a10.html
Physical Examination (Below Must be Completed by Licensed Physician, Nurse Practitioner or Physician Assistant) ... This form is approved by the North Carolina High School Athletic Association Sports Medicine Advisory Committee and the NCHSA A Board of Directors. Rev: May 2016 Page 2 of 2 Approved for 2018-19 SchoolYear
[PDF File]Preparticipation Physical Evaluation History Form
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I 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.
[PDF File]DO NOT FOLD FORM MISSISSIPPI ATHLETIC PRE …
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DO NOT FOLD FORM MISSISSIPPI ATHLETIC PRE-PARTICIPATION FORM ... ATHLETIC MEDICAL HISTORY Has the athlete had any of these conditions? ... To the best of our knowledge, we have given true and accurate information and we hereby grant permission for the physical scree ning evaluation.
[PDF File]PREPARTICIPATION PHYSICAL EVALUATION -- MEDICAL …
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Physical Examination Form . must be completed prior to junior high athletic participation and again prior to first and third years of high school athletic participation. It . must . be completed if there are yes answers to specific questions on the student's . MEDICAL HISTORY FORM . on the reverse side.
[PDF File]June 30 May 1 Athletic Participation/Parental Consent ...
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athletic or cheerleading team, an Athletic Paiiicipation/Parental Consent/Physical Examination Form, completely fi lled in and properly signed attesting that you have been examined during this school year and found to be physically fit for athletic competition and that your parents consent to your pai·ticipation.
[PDF File]Preparticipation Physical EvaluationForm - AHSAA
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the student has passed a physical exam, and that in the opinion of the examining physician (M.D. or D.O.) student the is fullyto participate able in interscholastic athleticss 7‐12). The (Grade AHSAA Physicians Certificate (Form 5) must be used.
[PDF File]PREPARTICIPATION PHYSICAL EVALUATION -- MEDICAL …
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PREPARTICIPATION PHYSICAL EVALUATION -- MEDICAL HISTORY REVISED 12-4-14 This MEDICAL HISTORY FORM must be completed annually by parent (or guardian) and student in order for the student to participate in athletic activities.These questions are designed to determine if the student has developed any condition which would make it hazardous to participate in an athletic event.
[PDF File]PRE-PARTICIPATION EXAMINATION FORM
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Form must be completed before any student may participate in athletic activities sponsored by this Association. A Pre-participation Physical Evaluation Form along with the Disclosure and Consent Document must be on file at the school before any participation in athletic activities.
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