Section 6 Piaa Form

Section 6 Piaa Form - Upon completion the Form must be turned in to the Principal or the Principal s designee of the student s school NOTE The physician completing this Form must first review Sections 3 and 4 of the herein named student s previously completed CIPPE Form Section 5 must also be reviewed if both 1 this Form is being used by the

PIAA Physical Form Section 6 Home All information and forms regarding physicals can be found in the Physcial Examinations for School and Sports section of the District s Health Services website

Section 6 Piaa Form

Section 6 Piaa Form

Upon completion of Sections 1 and 2 by the parent/guardian; Sections 3, 4, and 5 by the student and parent/guardian; and Section 6 by an Authorized Medical Examiner (AME), those Sections must be turned in to the Principal, or the Principal's designee, of the student's school for retention by the school.

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 Section VII Forms CIPPE Form Sections 1 2 3 4 5 6 7 8 and 9 5 1 2023 2023 Train The Trainer Registration Form 4 5 2023 2023 Convention Registration Form

PIAA Physical Form Section 6 Home WCASD

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 Student s Name Enrolled in School

8 Piaa Form Templates Free To Download In PDF

Contests in the sport s consented to by the student s parent guardian in Section 5 of the PIAA Comprehensive Initial Pre Participation Physical Evaluation form and further certify that the student does not have any communicable illness or condition which would pose a dange r to teammates and or competitors

Span Class Result Type

Submissions must include a CIPPE Section 6 Physician Certification dated after June 1 2023 FIRST sport FALL 23 24 submit CIPPE Sections 1 2 3 4 5 6 the Risk Guidelines and the ImPact Consent forms Injuries If an athlete was injured and unable to participate since last certified by a physician a CIPPE Section 8 will also be required

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

Created Date 6 15 2021 1 18 45 PM

The only hard copy form that must be submitted is Section 6 of the PIAA Pre-Participation Physical form. This is the section that is completed by the Certified Medical Examiner and must take place June 1st or after for next school year. Any physical done before June 1st is not valid.

Span Class Result Type

1 Has a doctor ever denied or restricted your 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

Section 6 Piaa Form

Created Date 6 15 2021 1 18 45 PM

PIAA Physical Form Section 6 Home All information and forms regarding physicals can be found in the Physcial Examinations for School and Sports section of the District s Health Services website

Fillable Online PIAA Section 7 Recertification Form Fax Email Print PdfFiller