Alabama High School Physical Form PDF Details

The Alabama high school physical form is a document that is completed by students before they can participate in sports or any other extracurricular activities. The form is used to verify that the student is physically able to participate in the chosen activity. The physical form must be completed by a doctor and must include specific information about the student's health history. Completing the Alabama high school physical form is an important step in ensuring that students are safe when participating in extracurricular activities.

Below is the data regarding the form you were seeking to complete. It can show you the span of time you will need to finish alabama high school physical form, what fields you will need to fill in and a few additional specific facts.

QuestionAnswer
Form NameAlabama High School Physical Form
Form Length2 pages
Fillable?Yes
Fillable fields166
Avg. time to fill out33 min 46 sec
Other namesalabama high school athletic form, al school physical form, sports physical form alabama, ahsaa physical form

Form Preview Example

ALABAMA HIGH SCHOOL ATHLETIC ASSOCIATION

Preparticipation Physical Evaluation Form

History

 

 

Name

Sex

Age

Address

 

 

School

 

Grade

AreDoHaveWhenHasyoua[:Jyoudoctorwashaveusepresentlyeverhadyouranytroubleanyeveranybeensprained/strained,hadpassedspecialmedicalfirstongoingskinallergiesrestricted/deniedtakingotherproblemsheattoldhospitalizedmenstrualbreathingheadproblemsoutequipmentormedicalyouany(medicine,duringinjurymusclewithhavemedicationsorperiod?(itching,orproblemsyourdodislocated,conditionssicklecramps?(pads,concussion?spentinjuryafteryourpollens,eyesrashes,cellcoughparticipationexercise?braces,orsince(infectiousnightortrait?pills(likefractured,foods,vision?duringyourstaph,(prescriptionneckDiabetesbeeslasthospital?mononucleosis,rolls,inMRSA,orbrokensports?evaluation?aftermouthotherAsthma)?acne)?oractivity?oroverhadstingingguard,-thediabetes,repeated-counter?eyeinsects)?guards,infectiousswellingetc.or)?diseases,other Explain "Yes"AnkleanswersFinger[JDShoulderKnee[JThighbelow: Hand[]Foot[JShinForearmWristDHip

nNo0[JLIDD [JO[J

3.Explain[JWhenWhatHave"Yes"Headwaseveranswers:[JtheyourhadBacklongestlastsurgery?menstrualtime betweenperiod?your periods last year?

Date

 

_

Date of

birth

_

Phone

 

_

Sport

0

_

 

0n

etc.)?

•..

YesD

D[JILlnL]

I hereby state that, to the best of my knowledge, my answers to the above questions are correct.

 

Signature

of athlete

Date

_

Signature

of parent/guardian

_

IDUPLICATE AS NEEDEDI

 

 

 

Rev. 2010

FORM 5

Page 1 of 2

 

 

Preparticipation Physical Evaluation

Physical Examination

 

 

 

N

Corrected:L20 /

Abdominal

 

 

 

 

 

 

 

 

 

 

 

yPulsesMusculoskeletalBP

Abnormal

A..

t::

w....J

-_/_-

 

(males)

 

--Cardiovascular--GenitaliaWeight

 

I- 0

 

0

 

 

 

 

 

 

 

~

 

 

 

 

 

 

 

::::i~

 

 

 

HeightNeck

 

ormalShoulderElbowEOtherAnkleKneeHandBackWrist.HeartFootLungsSkinN.T.

Rule 1, Sec. 14 - In order for a student to be eligible for interscholastic athletics, there must be

on file in the Superintendent's or Principal's office a current physician's statement certifying that the student has passed a physical exam, and that in the opinion ofthe examining physician (M.D.

or D.O.) the student is fully able to participate in interscholastic athletics (Grade s 7-12). The AHSAA Physicians Certificate (Form 5) must be used. A physical exam will satisfy the

requirement for one calendar year from the date of the exam.

Findings

Clearance:

 

 

 

 

 

A. Cleared

 

 

 

 

 

B. Cleared after completing evaluation/rehabilitation for:

 

 

_

C. Not cleared for:

0 Collision

 

 

 

 

 

O Contact

 

 

 

 

 

O Noncontact

Strenuous

__

Moderately strenuous

Nonstrenuous

Due to:

 

 

 

 

_

Recommendation:

 

 

 

 

_

Name of physician

Date

_

Address

Phone

_

Signature of physician

, M.D. or D.O.

 

How to Edit Alabama High School Physical Form Online for Free

With the objective of making it as effortless to use as possible, we established our PDF editor. The whole process of filling out the al school physical form is going to be uncomplicated in the event you keep to the following actions.

Step 1: To get started, hit the orange button "Get Form Now".

Step 2: You can now alter the al school physical form. This multifunctional toolbar can help you add, eliminate, improve, and highlight content or undertake similar commands.

The PDF template you decide to fill in will consist of the next parts:

alabama sports physical form 2021 spaces to fill in

Write down the details in Do you have any skin problems, injuries of any bones or joints, Head Back Shoulder Forearm Hand, and Explain “Yes” answers: .

alabama sports physical form 2021 Do you have any skin problems, injuries of any bones or joints, Head Back Shoulder Forearm Hand, and Explain “Yes” answers:      fields to fill

In the section talking about Explain “Yes” answers: , I hereby state that, Signature of athlete Date , DUPLICATE AS NEEDED, Rev, Page 1 of 2, and FORM 5, you have to put down some vital data.

Completing alabama sports physical form 2021 part 3

The Preparticipation Physical, Student's name, Physical Examination, Rule 1, Height Weight BP / Pulse , Revised 2018, Vision R 20 / L 20 / Corrected:, D E T M L, Normal, Abnormal Findings, Cardiovascular, Pulses, Heart, Lungs, and Skin area is the place where all parties can put their rights and obligations.

alabama sports physical form 2021 Preparticipation Physical, Student's name, Physical Examination, Rule 1, Height  Weight  BP  /  Pulse , Revised 2018, Vision R 20 /  L 20 /  Corrected:, D E T M L, Normal, Abnormal Findings, Cardiovascular, Pulses, Heart, Lungs, and Skin fields to complete

Prepare the template by checking these fields: Genitalia (males), Musculoskeletal, Neck, Shoulder, Elbow, Wrist, Hand, Back, Knee, Ankle, Foot, Other, Clearance:, and Collision Contact Noncontact .

Filling in alabama sports physical form 2021 step 5

Step 3: Choose the "Done" button. So now, you may transfer your PDF document - upload it to your electronic device or send it via email.

Step 4: In order to prevent possible future difficulties, be sure you have more than two or more copies of each separate file.

Watch Alabama High School Physical Form Video Instruction

If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .