Dekalb County Sport Physical Form – Fill Out and Use This PDF

Dekalb County Sport Physical Form PDF Details

This physical form is a mandatory document for all students in DeKalb County who want to join a school-sponsored sports team. The school district requires it for every student athlete, and it must be renewed at the start of each academic year. A licensed medical provider must complete and sign the form before the student can attend tryouts or practices. The document captures parental consent, student health history, insurance details, and the physician's clearance decision.

Who Needs This Form

Any DeKalb County student in grades 6 through 12 who plans to participate in an interscholastic sport must submit this form. This applies to all sports sanctioned by the Georgia High School Association, including football, basketball, baseball, softball, soccer, track and field, wrestling, volleyball, and cross country. Students joining a team mid-season also need a completed physical on file before their first practice.

Physical Examination Requirements

The examination must be conducted by one of the following licensed providers:

• Medical Doctor (MD)
• Doctor of Osteopathic Medicine (DO)
• Certified Nurse Practitioner (NP)
• Physician Assistant (PA)

During the appointment, the provider reviews the student's medical history, performs a physical examination, and documents the findings on the form. The physical examination covers cardiovascular health, respiratory function, vision and hearing, neurological status, and musculoskeletal condition. Students with known health conditions such as asthma, Type 1 or Type 2 diabetes, or a prior concussion history need to bring documentation from their treating specialist to the appointment.

Information Collected on Each Page

The four pages of this document collect the following data about each student athlete:

• Personal Information: Full legal name, date of birth, grade, school name, home address, phone number, and the name of the sports team the student is joining
• Health History: Current medications, known allergies including food and drug allergies, prior injuries or broken bones, surgeries, hospitalizations, and family history of cardiac conditions
• Insurance Details: Name of health insurance carrier, policy number, and group number from the student's insurance card
• Physical Exam Findings: Height, weight, blood pressure, pulse rate, vision and hearing results, and the provider's notes on each body system examined
• Clearance Decision: The medical provider marks one of three options - cleared for all sports, cleared with activity modifications, or not cleared - and signs and dates the document
• Parental Consent: Parent or guardian signatures acknowledging the risks of sports participation and authorizing emergency medical treatment if needed

Insurance and Coverage Requirements

Parents must include proof of active health insurance when submitting the form. DeKalb County schools require this because student injuries during athletic activities are not covered by the school district itself. If a student has no private health insurance, the student may still be eligible to participate through the district's secondary athletic accident insurance, which covers a portion of treatment costs for injuries that occur during official games and practices. Contact the school's athletic director before the season begins for details on this coverage option.

Validity Period and Renewal Deadlines

The form is valid for one full school year. A physical conducted before April 1 is not accepted for the upcoming school year, regardless of when the new academic year begins. This April 1 cutoff is set by the Georgia High School Association and applies to all member schools in the state. For fall sports, which typically start with tryouts in early to mid-August, students should schedule their physicals between April and July. Most athletic directors recommend completing the physical by June 30 to avoid scheduling conflicts and last-minute delays before the season opens.

Where to Submit the Completed Form

After the provider signs and dates the document, the student or parent delivers a copy to the school's athletic department. Keep a copy for your own records. Forms are typically submitted during registration week at the start of the school year or on the first day of tryouts. Students who do not have a completed form on file are not permitted to participate in any official activity, even if their physical appointment is scheduled for the near future.

Similar Physical Forms for Student Athletes

If you need a related document for sports clearance or athletic participation, the following forms are available on FormsPal:

• Sports Physical Form - A general-purpose pre-participation physical evaluation form
• Athletic Physical Form - Used for school and recreational sports programs
• Annual Physical Examination Form - Standard annual physical exam documentation
• Illinois Pre-Participation Physical Form - Required for Illinois student athletes