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[PDF File]2020-21 MHSAA SPORTS HEALTH QUESTIONNAIRE Date / / …
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This Sports Health Questionnaire may only be used for students who received a valid sports physical during the 201920 school year- (one completed on or after April 15, 2019.A school may require a student to have a valid physical exam.

[PDF File]SPORTS QUALIFYING PHYSICAL EXAMINATION
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I have examined the student named on this form and completed the Sports Qualifying Physical Exam as required by the Minnesota State High School League. The athlete does not have apparent clinical contraindications to practice and participate in the sport(s) as outlined on this form.

[PDF File]PRE-PARTICIPATION PHYSICAL EVALUATION HISTORY FORM
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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 conditions arise after the athlete has been cleared for participation, the physician may rescind the clearance until the problem is resolved and the potential consequences are

[PDF File]School Sports Pre-Participation Examination – Part 1 ...
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1. The State Board of Education adopts by reference the form entitled "School Sports Pre-Participation Examination " dated May, 2017 that must be used to document the physical examination and sets out the protocol for conducting the physical examination. The form may be used in either a hard copy or electronic format. Medical providers may use ...

[PDF File]PHYSICAL EXAMINATION CLEARANCE 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 outline d 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]SPORTS QUALIFYING PHYSICAL EXAMINATION
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I have examined the student named on this form and completed the Sports Qualifying Physical Exam as required by the Minnesota State High School League. The athlete does not have apparent clinical contraindications to practice and participate in the sport(s) as outlined on this form.

[PDF File]HISTORY FORM
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PREPARTICIPATION PHYSICAL EVALUATION – Ohio High School Athletic Association – 2021-2022 PHYSICAL EXAMINATION FORM Name: Date of Birth: Grade in School: PHYSICIAN REMINDERS 1. Consider additional questions on more-sensitive issues.

[PDF File]PRINCE WILLIAM COUNTY PUBLIC MIDDLE SCHOOLS Athletic ...
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Rule 28B-1 (3) Physical Examination Rule/Transfer Student (10-90)- When an out-of-state student who has received a current physical examination elsewhere transfers to Virginia and attaches proof of that physical examination to the League form #2, the student …

[PDF File]Preparticipation Physical Evaluation History Form
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Preparticipation Physical Evaluation HISTORY FORM (Note: This form is to be ﬁlled out by the patient and parent prior to seeing the physician. The physician …

[PDF File]Sports Medical History Physical Exam
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ps 429 bellevue school district high school medical history and physical examination for athletics interscholastic athletics* participation eligibility report (*required every 2 years)

Sports physical exam form pdf