Alabama High School Physical Form PDF Details

The Alabama High School Athletic Association (AHSAA) sets forth a comprehensive Preparticipation Physical Evaluation Form, a crucial step for high school athletes prior to engaging in sports activities. This form, divided into a detailed medical history and a physical examination section, serves as a preventive measure aimed at safeguarding the health and safety of young athletes. With sections requiring disclosure of past and present medical conditions, allergies, and a thorough description of any injuries sustained, the form demands accurate and honest responses. Part of the form focuses on a physical examination conducted by a licensed physician, assessing various aspects of the athlete's health such as cardiovascular health, musculoskeletal condition, and overall physical fitness, ensuring that students are fit for participation in sports. The form also includes a section for clearance findings, where the examining physician indicates whether the athlete is cleared for participation, needs further evaluation, or is not cleared for certain levels of activity. This intricate process is not just a formality but a critical step toward ensuring that students partake in athletics within the bounds of safety, highlighting the AHSAA's commitment to the well-being of its athletes.

QuestionAnswer
Form NameAlabama High School Physical Form
Form Length2 pages
Fillable?Yes
Fillable fields167
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

How to Fill Out AHSAA Form 5

AHSAA Form 5 at a glance

What it is: FORM 5, the Preparticipation Physical Evaluation Form, is the AHSAA Physicians Certificate (Form 5 Rev. 2018), which must be used.

Who signs: The form MUST be signed and dated by the attending physician even if the physical was completed by a CRNP or PA.

A filled-in AHSAA Form 5 example: an athlete's history page

AHSAA Form 5 example filled out, example: an athlete's history page
Sam Sample, a ninth grader, fills out Form 5 for football. He answers No to every question, so the menstrual period and Explain “Yes” answers lines stay empty. The picture shows page 1; its names and figures are sample values. Physical Examination, Clearance and Name, address and signature of physician stay empty because the physician completes them. His parent Pat Sample signs under Signature of parent/guardian.

How to fill out AHSAA Form 5, box by box

Name, school and sport

AHSAA Form 5 example filled out, name, school and sport

Enter the Date, then Name, Sex, Age, Date of birth, Address, Phone, School, Grade and Sport.

Yes No, menstrual period and Explain “Yes” answers

AHSAA Form 5 example filled out, yes No, menstrual period and Explain “Yes” answers

Check Yes or No for each and explain “Yes” answers.

1. Has a doctor ever restricted/denied your participation in sports?

2. Have you ever been hospitalized or spent a night in a hospital? Have ever had surgery?

4. Are you presently taking any medications or pills (prescription or over‑the‑counter?

16. Have you ever sprained/strained, dislocated, fractured, broken or had repeated swelling or other injuries of any bones or joints? The parts listed are Head, Back, Shoulder, Forearm, Hand, Hip, Knee, Ankle, Neck, Chest, Elbow, Wrist, Finger, Thigh, Shin and Foot.

17. When was your first menstrual period? When was your last menstrual period? What was the longest time between your periods last year?

Signatures of athlete and parent/guardian

AHSAA Form 5 example filled out, signatures of athlete and parent/guardian

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

The athlete signs under Signature of athlete and enters the Date.

The parent/guardian signs under Signature of parent/guardian.

Physical Examination

AHSAA Form 5 example filled out, physical Examination

Enter the Student's name, Height, Weight, BP, Pulse, and Vision R 20 and L 20 with Corrected: Y N.

Mark Normal or Abnormal Findings for Cardiovascular, Pulses, Heart, Lungs, Skin, E.N.T., Abdominal, Genitalia (males), Musculoskeletal, Neck, Shoulder, Elbow, Wrist, Hand, Back, Knee, Ankle, Foot and Other.

Clearance

AHSAA Form 5 example filled out, clearance

Clearance: A. Cleared; B. Cleared after completing evaluation/rehabilitation for:; C. Not cleared for Collision, Contact or Noncontact, with Strenuous, Moderately strenuous or Nonstrenuous.

Write Due to: and Recommendation: on their lines.

Name, address and signature of physician

AHSAA Form 5 example filled out, name, address and signature of physician

Enter the Name of physician, Date, Address and Phone.

The physician signs under Signature of physician and circles M.D. or D.O.

More rules for AHSAA Form 5

For example, a physical given on May 5, 2025, will satisfy the requirement through May 31, 2026.

Common questions about AHSAA Form 5

Is there a deadline?

A physical exam will satisfy the requirement for one calendar year through the end of the month from the date of the exam.

Where do I file it?

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 of the examining physician (M.D. or D.O.) the student is fully able to participate in interscholastic athletics (Grades 7-12).

Sources

[1] Form 5 Rev. 2018, Preparticipation Physical Evaluation, Alabama High School Athletic Association (the Official source link on this page).

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