CHSAA Preparticipation Physical Evaluation Form
This is the CHSAA Preparticipation Physical Evaluation form designed for students to assess their medical eligibility. Parents and guardians will need to complete this form to ensure their child can participate in sports. It outlines essential medical history and emergency contact information needed for student-athletes.
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How do I fill this out?
To fill out this form, please read each section carefully. Provide accurate information as required, ensuring all medical history is disclosed. Make sure to have your healthcare professional fill in their details before submitting.
How to fill out the CHSAA Preparticipation Physical Evaluation Form?
1
Print the CHSAA Preparticipation Physical Evaluation form.
2
Complete all required fields regarding student information.
3
Ensure signatures from both the student and parent/guardian are included.
4
Have a qualified healthcare professional conduct the examination.
5
Submit the form to your school according to their guidelines.
Who needs the CHSAA Preparticipation Physical Evaluation Form?
1
Student-athletes need this form to participate in sports activities.
2
Parents or guardians need to submit this form for their children’s sports eligibility.
3
Healthcare professionals must complete the medical evaluation section.
4
School administrators require this form to verify student medical eligibility.
5
Athletic trainers utilize this information to assess risks for student-athletes.
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Upload the PDF to our editing tool.
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What are the instructions for submitting this form?
To submit the CHSAA Preparticipation Physical Evaluation form, please send it directly to the designated school athletic department via email or fax. Include any necessary additional documentation as provided by your school's guidelines. If submitting by mail, address it to the school's athletic office to ensure it is received in a timely manner. Always keep a copy for your records.
What are the important dates for this form in 2024 and 2025?
For the upcoming school years in 2024 and 2025, ensure to complete this form by the start of the sports season. Typically, these forms should be submitted before the first practice. Make sure to check your school's specific deadlines to ensure timely submission.
What is the purpose of this form?
The purpose of the CHSAA Preparticipation Physical Evaluation form is to ensure that student-athletes are medically fit to participate in sports. This form collects necessary health information and requires an examination by a qualified healthcare professional. It is vital in preventing health risks associated with sports participation.
Tell me about this form and its components and fields line-by-line.
- 1. Student's Full Name: The full name of the student who is being evaluated.
- 2. School: The name of the school the student attends.
- 3. Emergency Contact: A person to contact in case of an emergency.
- 4. Family Healthcare Provider: The student's healthcare provider's name and contact information.
- 5. Medications: A list of medications the student is currently taking.
- 6. Relevant Medical History: Any relevant medical conditions that may affect participation.
What happens if I fail to submit this form?
If the form is not submitted, the student may be ineligible to participate in sports activities. It is crucial for the information to be provided accurately to avoid complications. Ensure timely submission to avoid missing practices or competitions.
- Ineligibility: The student may be unable to participate in sports if the form is not submitted.
- Health Risks: Without proper medical evaluation, students may face health risks while participating.
- Liability Issues: Schools may face liability issues if they allow participation without proper documentation.
How do I know when to use this form?
- 1. New Registrations: When a student joins a new sport or team.
- 2. Annual Requirement: Every year, students need to provide updated medical evaluations.
- 3. Post-Injury Clearance: Required after a serious injury before returning to practice.
Frequently Asked Questions
How do I fill out the CHSAA Physical Evaluation form?
You can fill out the form by entering student information and medical history directly onto the PDF.
Can I edit the form after I've printed it?
Yes, you can use our editing tool to make changes even after printing.
How do I submit this form?
Submit the completed form to your school's athletic department as per their guidelines.
Is there a specific format for the signatures?
You can sign digitally or write your signature after printing the document.
Can my healthcare provider submit this form on my behalf?
Yes, your healthcare provider can fill out and submit the form directly.
Are there any required fields?
Yes, all sections pertaining to student information and medical history must be completed.
What if I have questions filling out the form?
Feel free to reach out to your school's athletic department for assistance.
Can I share this form with others?
Yes, our platform allows you to share the PDF with anyone easily.
Do I need to keep a copy of this form?
It is recommended to keep a copy for your records.
How long is this form valid?
This form is valid for 365 calendar days from the date it is signed.
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