Fhsaa preparticipation physical evaluation forms created date. Preparticipation physical evaluation page 1 of 2 this completed form must be kept on file by the school. Article ii, section 10 of the tssaa bylaws states it is required that no student be permitted to participate in practice sessions or in athletic contests until there is on file with the principal a preparticipation medical evaluation form signed by a doctor of medicine, osteopathic physician, physician assistant, or certified nurse practitioner. Under florida law, email addresses are public records. The ahsaa physicians certificate form 5 must be used.
The student must have each of the categories below completed before equipment will be issued andor. Verification of student registration with public school district home education office. Physical evaluation form pdf ihsaa guidance on 202021 physical forms ihsaa rule 310 requires that between april 1 and students first practice in preparation for interschool athletic participation, the student shall have a physical examination by, or shall provide certification from, a physician holding an unlimited license to practice. Consent and release from liability certificate for sudden cardiac arrest and concussion. Fhsaa also requires that all student athletes complete three 3 online courses. The student must have each of the categories below completed before equipment will be issued andor the student is allowed to participate in tryouts, practices or contests. Florida high school athletic association preparticipation physical evaluation page 1 of 2 this completed form must be kept on file by the school. Concussion information concussion is a brain injury. Athletic participationphysical examination form khsaa form. Printable forms fhsaa preparticipation physical evaluation. Eligibility brochure pdf physical evaluation form pdf ihsaa rule 310 requires that between april 1 and students first practice in preparation for interschool athletic participation, the student shall have a physical examination by, or shall provide. Khsaa forms kentucky high school athletic association. Fhsaa preparticipation physical form el2 northwest. We understand the evaluation involves a limited examination and the screening is not intended to nor will it prevent injury or sudden death.
Forms are provided either as portable document format pdf files, microsoft word documents, or both, all of which can be downloaded into, completed on, and printed out of your computer. Entire completed form is to be returned to school administration. Football state series financial report form regional tournament or state semifinal. Academic performance contract for athletic eligibility. Microsoft word preparticipation physical form0511 last modified by. Complete the medical eligibility form page 4 and sign page 4. Lhsaa medical historymedical exam form revised 618. If you do not want your email address released in response to a public records request, do not send electronic mail to this entity. Fhsaa preparticipation physical evaluation forms subject. Florida high school athletic association preparticipation physical evaluation page 3 of 3 this completed form must be kept on le by the school.
Athletic participation physical examination form parental and student consent and release for middle school level students enrolled in grades 58 participating in competition for grades 68 khsaa form ms01 middle school parent permission and consent rev. Trinity catholic school the mission of trinity catholic school is to teach the catholic faith within a challenging academic curriculum, laying the foundation for all students to grow in christian maturity, integrity and knowledge. Northwest christian academy exists for the purpose of assisting the local church in fulfilling christs command. Preparticipation physical evaluation page 1 of 3 this completed form must be kept on le by the school. No more lost forms in a backpack or a locker or having to drop them off at school. Fhsaa physical form our mission northwest christian academy exists for the purpose of assisting the local church in fulfilling christs command. Complete the physical examination form page 3 and sign the bottom of page 3. Florida high school athletic association clearance for. News about athletics coaches and staff directory facilities lakers championships former lakers student athlete of the week florida high school athletic association sunshine state athletic conference ncaa recruitment process ncaa eligibility center maxpreps. Athletic participationphysical examination form khsaa.
Ohio high school athletic association 4080 roselea place, columbus oh 43214 fax. Florida high school athletic association revised 0518 consent and release from liability certificate for concussions page 2 of 4 this completed form must be kept on file by the school. Collect the completed ppe forms with the appropriate signatures on pages 2 5. General administrative forms physical,transfer,contract ge01application for membership pdf ge02new member school information pdf ge04combined parent permission and athletic physical forms english, high school ge04combined parent permission and athletic physical forms spanish, high school ge04ppepre participation physical exam. Florida high school athletic association athletic office. Florida high school athletic association clearance for participation form the following information must be completed before the student will be allowed to participate in athletics at an fhsaa member school. Lhsaa medical historymedical exam form revised 618 pdf. Kansas state high school activities association pre. Florida high school athletic association revised 0319 consent and release from liability certificate page 1 of 4 this completed form must be kept on file by the school. Florida high school athletic association revised 0518 preparticipation physical evaluation page 2 of 3 this completed form must be kept on file by the school. Preparticipation physical evaluation history form author.
The grade ahsaa physicians certificate form 5 must be used. Physical examination record to be completed by a licensed medical professional as designated in article vii. Preparticipation physical evaluation page 1 of 3 this completed form must be kept on file by the school. Click on the link s of the form s you need and print the page to your local printer. The physical examination form must be signed by a practicing physician, physician assistant, or nurse practitioner. This form is valid for 365 calendar days from the date of the evaluation as written on page 2.
Keep the complete document in the students medical record. Student information to be completed by student or parent. Athletic participationphysical examination form parental and student consent and release for middle school level students enrolled in grades 58 participating in competition for grades 68 khsaa form ms01 middle school parent permission and consent rev. To save the publication to your computer, right click. Student athlete of the week florida high school athletic association sunshine state. Do not attempt to complete the form on your web browser. Physicianprovider is to complete and sign the physical examination form on page 4. Whether youre a fitness junkie or applying for your first job, getting your hands with one of these will absolutely help you. Physical forms are documents that record and tracks someones physical fitness and health status. This form is valid for 365 calendar days from the date of the most recent signature. Florida high school athletic association preparticipation physical evaluation page 3 of 3 this completed form must be kept on file by the school. American college of sports medicine acsm, american academy of family physicians.
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