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IHSAA Form D 2011-2024 free printable template

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1 of 4 PHYSICAL EXAMINATION FORM The physical examination must be performed on or after April 1 by a Physician holding an unlimited license to practice medicine to be valid for the following school year IHSAA By-Law C 3-10 the following school year IHSAA By-Law C 3-10 2 of 4 IHSAA ELIGIBILITY RULES INDIVIDUAL ELIGIBILITY RULES Grades 9 through 12 ATTENTION ATHLETE Your school is a member of the IHSAA and follows established rules. Preparticipation Physical Evaluation HISTORY FORM Note This...
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How to fill out ihsaa physical form

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01
To fill out the IHSAA physical form, you will need to obtain a copy of the form from the IHSAA or your school's athletic department.
02
Start by reading through the entire form to familiarize yourself with the information and sections that need to be completed.
03
Gather all necessary personal information, such as your full name, date of birth, address, and contact details.
04
Complete the medical history section of the form, providing detailed information about any past injuries, illnesses, or medical conditions. It is crucial to be honest and accurate when filling out this section.
05
Schedule an appointment with a licensed healthcare professional, such as a physician, nurse practitioner, or physician assistant, to undergo a physical examination.
06
During the physical examination, the healthcare professional will assess your overall health, check vital signs, evaluate your physical fitness, and may also perform vision and hearing tests if required.
07
Once the examination is complete, the healthcare professional will fill out the remaining sections of the physical form, including certification of your medical fitness for participating in sports activities.
08
Review the completed form to ensure all sections are properly filled out and signed. Make sure to sign and date the form yourself as well.
09
Submit the filled out and signed IHSAA physical form to the appropriate authority, such as your school's athletic department or coach.
10
Keep a copy of the completed form for your own records.

Who needs the IHSAA physical form?

01
Student-athletes who wish to participate in any IHSAA-sanctioned sports activities at their school.
02
Schools and athletic departments that require a physical examination and completed form as part of their eligibility requirements for sports participation.
03
Coaches and administrators who need to verify the medical fitness of student-athletes before allowing them to participate in sports activities.

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The IHSAA Physical Form is a form that must be completed by a licensed medical provider for any athlete who wishes to participate in an Indiana High School Athletic Association (IHSAA) sanctioned activity. The form must be completed and signed by a physician and the parent/guardian of the student-athlete. The form is designed to ensure that the athlete is physically fit to participate in the activity and to identify any medical conditions that may need to be monitored.
1. Start by writing your full name, date of birth, and address in the top section of the form. 2. Fill out the health history section. If you answer “yes” to any of the questions, provide details in the space provided. 3. Have your physician complete the Physical Examination section. 4. Have your parents or guardian complete the Consent to Participate form. 5. Sign the form and have it notarized. 6. Make a copy of the form for your records. 7. Submit the form to the IHSAA office.
The exact deadline for filing an IHSAA physical form in 2023 is not yet known. It is recommended that you contact your local IHSAA office for the most up-to-date information.
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