Chsaa Preparticipation Physical Evaluation Form. PREPARTICIPATION PHYSICAL EVALUATION (Page 1 of 4) This medical

PREPARTICIPATION PHYSICAL EVALUATION (Page 1 of 4) This medical history form should be retained by the healthcare provider and/or parent. Instructions: Sports Physical /Preparticipation Physical Examination (PPE) English Forms. PREPARTICIPATION PHYSICAL EVALUATION (Page 2 of 4) This medical history form should be retained by the healthcare provider and/or parent and not turned into the school. No online/virtual PREPARTICIPATION PHYSICAL EVALUATION (Page 4 of 4) THIS MED This form is valid for 365 calendar days from the date signed below. The student-athlete and parent/guardian acknowledge truthful answers to the above questions allows for a trained clinician to assess the individual student-athlete against risk factors associated with SUBMIT ONLY THIS MEDICAL ELIGIBILITY FORM TO THE SCHOOL This form is valid for 365 calendar days from the date signed below. This preparticipation physical evaluation shall be completed each year before participating in interscholastic athletic competition or engaging in any practice, tryout, s form and completed the preparticipation physical evaluation. This form is valid for 365 calendar days from the View the CHSAA Preparticipation Physical Evaluation Form in our collection of PDFs. This form is valid for 365 calendar days from the as the first step of injury prevention. A copy PREPARTICIPATION PHYSICAL EVALUATION (Page 4 of 4) SUBMIT ONLY THIS MEDICAL ELIGIBILITY FORM TO THE SCHOOL form is valid for 365 calendar days from the date signed bel CHSAA RECOMMENDS the American Academy of Pediatrics preparticipation physical evaluation forms for a more comprehensive preparticipation evaluation. This form is valid for 365 calendar days from the k. Beginning July 2025, the following PPE form is the only form the CHSAA membership will accept for the documentation of physical exams. . No online/virtual physicals should be accepted. CHSAA Sports Medicine Page can be found here for the most Your document is ready to be downloaded. Follow the links provided for access to the CONCUSSION INFO CONTACT CHSAA 2025 Physical Form CHSAA 2025 Physical FormChristine Emery2025-03-12T16:57:08-06:00 See JPEG below or I have examined the student named on this form and completed the preparticipation physical evaluation. Sign, print, and download this PDF at PrintFriendly. Please download Preparticipation Physical Evaluation (PPE) pages 1, 2, 3 and 4. A copy of the exam has been retained and can be accessed by the parent as requested. Not medically eligible for any sports Recommendations: (use additional sheet, if necessary) hat I have examined the above-named student-athlete using the CHSAA Preparticipation Physical Evaluation Not medically eligible for any sports Recommendations: (use additional sheet, if necessary) hat I have examined the above-named student-athlete using the CHSAA Preparticipation Physical Evaluation PREPARTICIPATION PHYSICAL EVALUATION (Page 1 of 4) This medical history form should be retained by the healthcare provider and/or parent. PREPARTICIPATION PHYSICAL EVALUATION (Page 4 of 4) THIS MED This form is valid for 365 calendar days from the date signed below. This preparticipation physical evaluation shall be completed each year before participating in interscholastic athletic competition or engaging in any practice, tryout, workout, conditioning, or other PREPARTICIPATION PHYSICAL EVALUATION (Page 1 of 4) This medical history form should be retained by the healthcare provider and/or parent. Parent and athlete to both complete forms (Page 1, 2), 2025-2026 CHSAA Sports Physical/Preparticipation Physical Examination Forms (Espanol) 2025-2026 Athletics In-State Overnight Field Trip This preparticipation physical evaluation shall be completed each year before participating in interscholastic athletic competition or engaging in any practice, tryout, workout, This preparticipation physical evaluation shall be completed each year before participating in interscholastic athletic competition or engaging in any practice, tryout, workout, conditioning, or other PREPARTICIPATION PHYSICAL EVALUATION (Page 4 of 4) SUBMIT ONLY THIS MEDICAL ELIGIBILITY FORM TO THE SCHOOL form is valid for 365 calendar days from the date signed bel The CHSAA Sports Medicine Advisory Committee is a collective group of medical and educational professionals whose expertise provides current information to the Association membership. These forms are intended for downloading and printing only. The athlete does not have apparent clinical contraindications to practic and can participate in the sport(s) as outlined on this form. The athlete does not have apparent clinical contraindications to practice and can participate in the Physical Examination Forms Note: The following are forms were approved by CHSAA Legislative Council April-2024. e CHSAA Preparticipation Physical Evaluation and have provided the conclusion(s) lis ed above.

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