WebAs a minimum requirement, this Physical Examination Form must be completed prior to junior high athletic participation and again prior to first and third years of high school … WebAny immediate family members have high cholesterol Y N. Please list any . medications. your child will need to take. in. school: All medications taken in school require a separate . Medication Authorization Form. signed by a health care provider and parent/guardian. I give permission for release and exchange of information on this form
PREPARTICIPATION PHYSICAL EVALUATION -- MEDICAL HISTORY ...
WebOfficials Ledger for Schools PDF Physical Exam/Medical History Form The most frequently requested and downloaded form is the Student-Athlete Physical Exam / Medical History … WebPrintable Physical Form- 9+ Free Documents in Word, PDF; Sample Physical Exam Forms - 8+ Free Documents in PDF; Sample Sports Physical Form - 9+ Free Documents in PDF, Doc; Sample School Evaluation Form - … nottsbus connect 535
Pre-Participation Form - North Carolina High School Athletic …
http://www.virginiapediatrics.org/mt-content/uploads/2024/04/vhsl-ppe-form_2024-final-1.pdf WebTHIS FORM MUST BE ON FILE PRIOR TO PARTICIPATION IN ANY PRACTICE, SCRIMMAGE OR CONTEST BEFORE, DURING OR AFTER SCHOOL. For School Use Only: This Medical History Form was reviewed by: Printed Name Date Signature 1. Hav e you had a medical illness or injury sinc your last check Yes Ye! No 13. Have you ever gotten unexpectedly … WebA California Department of Education Gold Ribbon School. 1402 Royal Avenue Simi Valley, CA 93065 805.306.4875 Phone 805.520.6644 Fax nottsapc urinary tract infection