Piaa Physical Form Section 7

Piaa Physical Form Section 7 - Participation Physical Evaluation CIPPE and 2 have the appropriate person s complete the first six Sections of the must complete Section 7 of this form and must turn in that Section to the Principal or Principal s designee Receipt and Review Form 7 2012 PIAA Revised October 28 2020 S ECTION 4 U NDERSTANDING OF S

If any SUPPLEMENTAL HEALTH HISTORY questions below are either checked yes or circled the herein named student shall submit a completed Section 8 Re Certification by Licensed Physician of Medicine or Osteopathic Medicine to the Principal or Principal s designee of the student s school Explain Yes answers at the bottom of this form

Piaa Physical Form Section 7

Piaa Physical Form Section 7

by the student's parent]guardian in Section 2 of the PIAA Comprehensive Initial Pre-Participation Physical Evaluation form. CLEARED CLEARED with recommendation(s) for further evaluation or treatment for: NOT CLEARED for the following types of sports (please check those that apply): C) NON-STRENUOUS COLLISION CONTACT NON-CONTACT

This area contains forms relating to different PIAA sports There are also forms for various individuals involved with high school athletics coaches officials etc PIAASports CIPPE Section 1 5 Spanish Version in Word 5 11 2023 CIPPE Section 1 5 Spanish Version pdf 5 11 2023 CIPPE FORM SECTIONS 1 2 3 4 5 6 7 8 and 9 WORD

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SECTION 7 PIAA COMPREHENSIVE INITIAL PRE PARTICIPATION PHYSICAL EVALUATION AND CERTIFICATION OF AUTHORIZED MEDICAL EXAMINER Must be completed and signed by the Authorized Medical Examiner AME performing the herein named student s comprehensive initial pre participation physical evaluation CIPPE and turned in to the Principal or the Principal s designee of the student s school

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All PIAA CIPPE physical forms must be completed online except for the Health History section 6 and the Medical Examiners page section 7 which can be found at the bottom of this page Please click here to access the secure Family ID website to complete the physical registration process The medical examiner s portion of the physical must be

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Medication administration form must be completed by the physician that provides the name of the drug dose time it is to be taken and the diagnosis or reason the medication is needed The use of the Asthma Action Plan is the form to be completed for all students who are asthmatic These forms will need to be completed upon each new

Section 5 Health History Section 6 Piaa Comprehensive Initial Pre Participation Physical

1 Has a doctor ever denied or restricted your No participation in sport s for any reason 2 Do you have an ongoing medical condition like asthma or diabetes 3 Are you currently taking any prescription or nonprescription over the counter medicines or pills 4 Do you have allergies to medicines pollens foods or stinging insects 5

This Form must be completed for any student who, subsequent to completion of Sections 1 through 4 of this CIPPE Form, required medical treatment from a licensed physician of medicine or osteopathic medicine. This Section 6 may be completed at any time following completion of such medical treatment. Upon completion, the Form must be turned in to ...

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Section 7 is the eighth section and recertification form between sport seasons PIAA requires parents to complete this section at the conclusion of their child s fall and or winter season to be re certified to participate in another sport season Section 7 must be dated AFTER the conclusion of the previous season

Piaa Physical Form Section 7

1 Has a doctor ever denied or restricted your No participation in sport s for any reason 2 Do you have an ongoing medical condition like asthma or diabetes 3 Are you currently taking any prescription or nonprescription over the counter medicines or pills 4 Do you have allergies to medicines pollens foods or stinging insects 5

If any SUPPLEMENTAL HEALTH HISTORY questions below are either checked yes or circled the herein named student shall submit a completed Section 8 Re Certification by Licensed Physician of Medicine or Osteopathic Medicine to the Principal or Principal s designee of the student s school Explain Yes answers at the bottom of this form

Piaa Sports Physical Form 2022 2023 Printable Forms Free Online