Physical evaluation exam
How do I complete a pre-participation physical evaluation?
Review the History Form (pages 1 & 2) with the student and his/her parent/guardian as part of the pre-participation physical evaluation. Complete the Physical Examination Form (page 3) AND SIGN the bottom of page 3. Complete the Medical Eligibility Form (page 4) AND SIGN page 4. NOTE: Two signatures are required by the healthcare provider!
When do I need to complete a physical examination form?
As a minimum requirement, this Physical Examination Form must be completed prior to junior high participation and again prior to first and third years of high school participation. It must be completed if there are yes answers to specific questions on the student's MEDICAL HISTORY FORM on the reverse side.
What is a PPE physical examination form?
The completed PPE Physical Examination Form (page 3) is signed and dated by the LMP who performed the examination. The physical examination builds on information obtained in the medical history.
When do I need to complete a KSHSAA performance evaluation?
The KSHSAA recommends completion of this evaluation by athletes/cheerleaders at least one month prior to the first practice to allow time for correction of deficiencies and implementation of conditioning recommendations. PPE is required annually and shall not be taken earlier than May 1 preceding the school year for which it is applicable.
[PDF File]Instructions for Completing the NCHSAA Student-Athlete
https://info.5y1.org/physical-evaluation-exam_1_3a5075.html
Preparticipation Physical Evaluation (PPE) In order to be medically eligible for participation in practice or in interscholastic athletic contests, a student must have a completed NCHSAA PPE and submit it to the school. The PPE is four (4) pages in length and includes the History Form, the Physical Examination
[PDF File]PREPARTICIPATION PHYSICAL EVALUATION (Interim Guidance ... - AAP
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PREPARTICIPATION PHYSICAL EVALUATION (Interim Guidance) PHYSICAL EXAMINATION FORM Name: _____ Date of birth: _____ PHYSICIAN REMINDERS 1. Consider additional questions on more-sensitive issues. • Do you feel stressed out or under a lot of pressure?
[PDF File]PRE-PARTICIPATION PHYSICAL EVALUATION INSTRUCTIONS
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1. Review the History Form (pages 1 & 2) with the student and his/her parent/guardian as part of the pre-participation physical evaluation. 2. 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.
[PDF File]Preparticipation Physical Evaluation History Form
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Ihave 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.
Guidelines for Vestibular Evaluation Developed by Vestibular ...
4. Inconsistencies in clinical exam of vestibular function (see below), history, physical exam (gait/stance), dynamic visual acuity, motion sensitivity or positional tests 5. Exam does not reveal cause of patients problems 6. No improvement after 30 day treatment period 7. Dead falls on dynamic posturography conditions 5 and 6, or foam EC
[PDF File]PREPARTICIPATION PHYSICAL EVALUATION -- MEDICAL HISTORY ...
https://info.5y1.org/physical-evaluation-exam_1_78e4e9.html
As a minimum requirement, this Physical Examination Form must be completed prior to junior high participation and again prior to first and third years of high school participation. It must be completed if there are yes answers to specific questions on the student's MEDICAL HISTORY FORM on the reverse side.
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