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.
| Question | Answer |
|---|---|
| Form Name | Alabama High School Physical Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | alabama high school physical form, alabama high school athletic form, al physical form, alabama athletic association physical form |
ALABAMA HIGH SCHOOL ATHLETIC ASSOCIATION
Preparticipation Physical Evaluation Form
History |
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Name |
Sex |
Age |
Address |
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School |
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Grade |
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3.Explain[JWhenWhatHave"Yes"Headwaseveranswers:[JtheyourhadBacklongestlastsurgery?menstrualtime betweenperiod?your periods last year?
Date |
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Date of |
birth |
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Phone |
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Sport |
0 |
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etc.)? |
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YesD |
D[JILlnL] |
I hereby state that, to the best of my knowledge, my answers to the above questions are correct. |
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Signature |
of athlete |
Date |
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Signature |
of parent/guardian |
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IDUPLICATE AS NEEDEDI |
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Rev. 2010 |
FORM 5 |
Page 1 of 2 |
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Preparticipation Physical Evaluation
Physical Examination
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N |
Corrected:L20 / |
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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
requirement for one calendar year from the date of the exam.
Findings
Clearance: |
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A. Cleared |
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B. Cleared after completing evaluation/rehabilitation for: |
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C. Not cleared for: |
0 Collision |
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O Contact |
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O Noncontact |
Strenuous |
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Moderately strenuous |
Nonstrenuous |
Due to: |
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Recommendation: |
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Name of physician |
Date |
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Address |
Phone |
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Signature of physician |
, M.D. or D.O. |
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