Ihsaa Physical Form PDF

Ihsaa Physical Form PDF - PRE PARTICIPATION PHYSICAL EVALUATION FORM PPE The IHSAA Pre participation aluation P PE is the first and most important step in providing for the S ell being of Indiana s hi h school athletes The form is desi yned to identify risk factors prior to athletic participation bv of a thorough medical historv and phvsical ex amination

PHYSICAL EXAMINATION FORM Name Last First Middle EXAMINATION Height Weight Male Female BP Pulse Vision R 20 L 20 Corrected Y N MEDICAL NORMAL ABNORMAL FINDINGS Appearance Marfan stigmata kyphoscoliosis high arched palate pectus excavatum

Ihsaa Physical Form PDF

Ihsaa Physical Form PDF

IHSAA 22-23 Physical Form IHSAA 22-23 Physical Form.pdf

PREPARTICIPATION PHYSICAL EVALUATION MEDICAL ELIGIBILITY FORM Name Date of birth Medically eligible for all sports without restriction Medically eligible for all sports without restriction with recommendations for further evaluation or treatment of

Span Class Result Type

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

Physical Form NorthWood Football

IHSAA PRE PARTICIPATION PHYSICAL EVALUATION The physical examination must be performed Ollar after vlay 1 by a Physician holding an unlimited license to practice medicine to be valid for the following school year IHSAA By Law C 3 10 SCHOOL

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 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

Fillable Online Physicalform indd IHSAA Form Fax Email Print PdfFiller

I have examined the above named student and completed the preparticipation physical evaluation The athlete does not present apparent clinical contraindica tions 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

This form has been developed with the assistance of the Committee on Sports Medicine of the Iowa Medical Society and has been approved for use by the Iowa Department of Education, Iowa High School Athletic Association, and Iowa Girls High School Athletic Union. Schools are encouraged NOT to change this form from its published format.

2022 23 IHSAA Physical Form For Athletes Delta High School

The IHSAA Pre participation Physical Evaluation PPE is the fi rst and most important step in providing for the well being of Indiana s high school athletes The form is designed to identify risk factors prior to athletic participation by way of a thorough medical history and physical ex amination

Ihsaa Physical Form PDF

I have examined the above named student and completed the preparticipation physical evaluation The athlete does not present apparent clinical contraindica tions 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

PHYSICAL EXAMINATION FORM Name Last First Middle EXAMINATION Height Weight Male Female BP Pulse Vision R 20 L 20 Corrected Y N MEDICAL NORMAL ABNORMAL FINDINGS Appearance Marfan stigmata kyphoscoliosis high arched palate pectus excavatum

Ihsaa Physical Form Fill Out Printable PDF Forms Online