Ihsaa Athletic Physical Form

Ihsaa Athletic Physical Form - The form is designed to identify risk factors prior to athletic participation by way of a thorough medical history and physical examination The IHSAA under the guidance of the Indiana State Medical Association s Com mittee on Sports Medicine requires that the PPE Form be signed by a physician MD or DO

IHSAA Rule 3 10 requires that Between April 1 and student s 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 medicine a nurse practitioner or a physician assistant who shall clear the

Ihsaa Athletic Physical Form

Ihsaa Athletic Physical Form

PREPARTICIPATION PHYSICAL HISTORY FORM Note: Complete and sign this form (with your parents if younger than 18) before your appointment. Name: Date of examination: Sex assigned at birth (F, M, or intersex): Date of birth: Grade: How do you identify your gender? (F, M, or other): List past and current medical conditions.

PREPARTICIPATION PHYSICAL HISTORY FORM Note Complete and sign this form with your parents if younger than 18 before your appointment History Form is retained by physician healthcare provider Name Date of examination Sex assigned at birth F M or intersex List past and current medical conditions Have you ever had surgery

Schools Indiana High School Athletic Association IHSAA

Basketball Football Wrestling Hall of Fame Officials Academic Achievement The IHSAA recognizes member school teams maintaining high academic standards during their sport seasons Academic Achievement Distinguished 3 25 4 00 Excellence 3 00 3 24 Officials To be completed by registered and active IHSAA officials for the 2022 23 school year

Ihsaa Physical Form Fill Out Printable PDF Forms Online

Physicals on Final Forms Physicals and all required forms will be completed on Final Forms A new physical is required to be completed after April 1 st to participate in summer athletic activities and all other activities like tryouts open gyms open fields practice etc This new physical will be good through the 2023 2024 school year

Span Class Result Type

Acknowledgement This form has been modified by the Indiana High School Athletic Association Inc IHSAA PHYSICAL EXAMINATION FORM The physical examination must be performed on or after 4pril I by a Physician holding an unlimited license to IHS 4 4 C 3 10 practice medicine to be valid for the lowing school year Name PHYS C A

IHSAA Basketball State Finals Top Players In Championship Games

Athletic Clearance for the 2023 2024 School YearAll athletes must be cleared before participating in summer camps tryouts and or participate on an athletic team during the school year through athleticclearance Note The only physical form accepted is the IUSD physical form attached Do not upload any other form

Click on the IHSAA physical form to view and then print. The student/athlete and the parent fill out the front of the form. The physician fills out and signs the back of the form. Please upload the complete physical form to Final Forms by following the directions on the Final Forms site.

Span Class Result Type

The form is designed to identify risk factors prior to athletic participation by way of a thorough medical history and physical ex amination The IHSAA under the guidance of the Indiana State Medical Association s Commit tee on Sports Medicine requires that the PPE Form be signed by a physician MD or DO hold

Ihsaa Athletic Physical Form

Athletic Clearance for the 2023 2024 School YearAll athletes must be cleared before participating in summer camps tryouts and or participate on an athletic team during the school year through athleticclearance Note The only physical form accepted is the IUSD physical form attached Do not upload any other form

IHSAA Rule 3 10 requires that Between April 1 and student s 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 medicine a nurse practitioner or a physician assistant who shall clear the

Ihsaa Physical Form Fill Out Printable PDF Forms Online