Pgcps Sports Physical Form

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Pgcps Sports Physical Form - PREPARTICIPATION PHYSICAL EVALUATION HISTORY FORM Note Complete and sign this form with your parents if younger than 18 before your appointment American Orthopaedic Society for Sports Medicine and American Osteopathic Academy of Sports Medicine Permission is granted to reprint for noncommercial

A physical exam form must be completed and returned to the schools athletic director The physical exam must be completed by a licensed physician certified physician s assistant under the supervision of a licensed physician or a certified nurse practitioner

Pgcps Sports Physical Form

Pgcps Sports Physical Form

Pgcps Sports Physical Form

The Office of Interscholastic Athletics of Prince George's County Public Schools (PGCPS) believes that interscholastic athletics is a way to achieve a balanced educational program for our students.

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 should keep this form in the chart Date of Exam

Middle School Sports PGCPS

Corporate 202 803 2340 Parental Consent Form Prince George s County Public School DON T GET BENCHED Sports Physical Initiative Dear Parents Guardians Elaine Ellis Center of Health EECH is providing Sports Physicals at your child s school

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Get an up to date Sports Physical ALL athletes in season or out of season must have a current physical on file Complete all registration items and upload a scanned copy of your physical to formreleaf Status must be Approved Once everything is completed the athletic trainer reviews everything and gives the final approval

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PREPARTICIPATION PHYSICAL EVALUATION HISTORY FORM Prince George S

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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 should keep this form in the chart Cleared for all sports without restriction with recommendations for further evaluation or treatment for Not cleared Pending further evaluation

your last check up or sports physical? Do you have an ongoing or chronic illness? qq 2. Have you ever been hospitalized overnight? qq Have you ever had surgery? qq 3. Are you currently taking any prescription or qq nonprescription (over-the-counter) medications or pills or using an inhaler? Have you ever taken any supplements or vitamins qq

Athletics PGCPS

The physical examination form designated by the Maryland State Department of Education and the Department of Health and Mental Hygiene SR 6 Local Revised 5 30 91 or a comparable health inventory form must be used to document that this requirement has been met

athletics

Athletics

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Pgcps Sports Physical Form

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 should keep this form in the chart Cleared for all sports without restriction with recommendations for further evaluation or treatment for Not cleared Pending further evaluation

A physical exam form must be completed and returned to the schools athletic director The physical exam must be completed by a licensed physician certified physician s assistant under the supervision of a licensed physician or a certified nurse practitioner

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