The Alabama High School Athletic Association Preparticipation Physical Evaluation Form, commonly known as the Alabama High School Physical form, is a document designed to ensure that students are medically and physically prepared to participate in athletic activities. This extensive form covers medical history, a physical examination that assesses various health aspects, and includes necessary signatures from both the athlete and a parent or guardian. Designed to promote the safety and well-being of students, it serves as a crucial step in preparticipation athletic preparation. To ensure your readiness for high school sports, consider filling out the form by clicking the button below.
The Alabama High School Physical Form, created by the Alabama High School Athletic Association (AHSAA), plays a pivotal role in ensuring the safety and preparedness of high school athletes for participation in sports activities. This comprehensive document requires both a detailed medical history and a physical examination to be filled out by athletes and healthcare providers, respectively. The history section captures essential information such as the athlete's personal details, medical history including any past injuries, allergies, hospitalizations, and specific medical conditions like asthma or diabetes, alongside any prescribed medications or past surgeries. Athletes and their guardians are required to provide truthful answers and signatures to validate the accuracy of the provided information. On the other hand, the physical examination part of the form covers a wide range of physical health checks including assessments of the athlete’s cardiovascular, musculoskeletal, and neurological health, among others. This examination section concludes with a clearance status, indicating whether the athlete is capable of engaging in sports, which might be contingent upon completion of further evaluations or rehabilitation for certain conditions. The physical examination must be conducted and signed off by a certified physician, and its validity extends one year from the date of examination. By mandating this form, the AHSAA aims to ensure that high school athletes in Alabama are medically and physically fit to participate in sports, thus safeguarding their health and well-being.
ALABAMA HIGH SCHOOL ATHLETIC ASSOCIATION
Revised 2018
Preparticipation Physical Evaluation Form
History
Date_______________________
Name__________________________________________________ Sex ________ Age______ Date of birth _______________
Address ______________________________________________________________________ Phone______________________
School ________________________________________________________Grade __________ Sport ______________________
Explain “Yes” answers below:
Yes
No
1.
Has a doctor ever restricted/denied your participation in sports?
2.
Have you ever been hospitalized or spent a night in a hospital?
Have ever had surgery?
3.
Do you have any ongoing medical conditions (like Diabetes or Asthma)?
4.
Are you presently taking any medications or pills (prescription or over‐the‐counter?
5.
Do you have any allergies (medicine, pollens, foods, bees or other stinging insects)?
6.
Have you ever passed out during or after exercise?
Have you ever been dizzy during or after exercise?
Have you ever had chest pain or discomfort in your chest during or after exercise?
Do you tire more quickly than your friends during exercise?
Have you ever had high blood pressure?
Have you ever been told that you have a heart murmur, high cholesterol, or heart infection?
Have you ever had racing of your heart or skipped heartbeats?
Has anyone in your family died of heart problems or a sudden death before age 50?
Does anyone in your family have a heart condition?
Has a doctor ever ordered a test on your heart (EKG, echocardiogram)?
7.
Do you have any skin problems (itching, rashes, staph, MRSA, acne)?
8.
Have you ever had a head injury or concussion?
Have you ever been knocked out or unconscious?
Have you ever had a seizure?
Have you ever had a stinger, burner, pinched nerve, or loss of feeling or weakness in your arms or legs?
9.
Have you ever had heat or muscle cramps?
Have you ever been dizzy or passed out in the heat?
10. Do you have trouble breathing or do you cough during or after activity?
Do you take any medications for asthma (for instance, inhalers)?
11. Do you use any special equipment (pads, braces, neck rolls, mouth guard, eye guards, etc.)?
12. Have you had any problems with your eyes or vision?
Do you wear glasses or contacts or protective eye wear?
13. Have you had any other medical problems (infectious mononucleosis, diabetes, infectious diseases, etc.)?
14. Have you had a medical problem or injury since your last evaluation?
15. Have you ever been told you have sickle cell trait?
Has anyone in your family had sickle cell disease or sickle cell trait?
16. Have you ever sprained/strained, dislocated, fractured, broken or had repeated swelling or other
injuries of any bones or joints?
Head
Back
Shoulder
Forearm
Hand
Hip
Knee
Ankle
Neck
Chest
Elbow
Wrist
Finger
Thigh
Shin
Foot
17.When was your first menstrual period?__________________________________________________________________
When was your last menstrual period?___________________________________________________________________
What was the longest time between your periods last year?________________________________________________
Explain “Yes” answers:
______________________________________________________________________________________________________________
I hereby state that, to the best of my knowledge, my answers to the above questions are correct.
Signature of athlete ___________________________________________________________ Date ___________________
Signature of parent/guardian __________________________________________________
FORM 5
DUPLICATE AS NEEDED
Rev. 2018 (The revised 2018 form is the official form accepted by the AHSAA.)
Page 1 of 2
Preparticipation Physical Evaluation 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 of the examining physician (M.D.
Student's name
or D.O.) the student is fully able to participate in interscholastic athletics (Grade s 7‐12). The
AHSAA Physicians Certificate (Form 5 Rev. 2018) must be used. A physical exam will satisfy the
Physical Examination
requirement for one calendar year through the end of the month from the date of the exam. For
example, a physical given on May 5, 2019, will satisfy the requirement through May 31, 2020.
Height ____________ Weight _____________ BP _____ / _____ Pulse ____________
Vision R 20 / ____ L 20 / ____ Corrected: Y N
LIMITED
Normal
Abnormal Findings
Cardiovascular
Pulses
Heart
Lungs
Skin
E.N.T.
COMPLETE
Abdominal
Genitalia (males)
Musculoskeletal
Other
Clearance:
A.Cleared
B.Cleared after completing evaluation/rehabilitation for: _______________________________________
C. Not cleared for:
Collision
Contact
Noncontact ____ Strenuous
____ Moderately strenuous
____ Nonstrenuous
Due to: ____________________________________________________________________________________________
Recommendation: _________________________________________________________________________________________
________________________________________________________________________________________________________
Name of physician ________________________________________________________________ Date ____________________
Address ________________________________________________________________________ Phone___________________
.
Signature of physician _____________________________________________________________, M.D. or D.O.
(Form must be signed and dated by the attending physician.)
Filling out the Alabama High School Physical form is a necessary step for high school athletes in Alabama to participate in sports. This form ensures that the student-athlete meets health and safety standards set by the Alabama High School Athletic Association. Completing the form properly helps safeguard the athlete's well-being during their sports activities. Below are the steps to fill out the form correctly.
After completing these steps, ensure that the form is returned to the appropriate school authority, typically the Superintendent's or Principal's office. This form is crucial for the eligibility of student-athletes to participate in interscholastic athletics in grades 7-12, according to AHSAA regulations. The physical exam is valid for one year from the date of the examination, supporting the athlete's health and readiness for sports participation.
What is the purpose of the Alabama High School Athletic Association Preparticipation Physical Evaluation Form?
This form serves a crucial role in ensuring the safety and wellness of high school athletes in Alabama. It is designed to evaluate their health and fitness levels to participate in interscholastic athletics. By identifying any potential medical conditions or limitations, the form helps in preventing injuries and promoting a safe athletic environment for students from grades 7-12.
Who is required to complete the Alabama High School Physical Form?
All students wishing to participate in interscholastic sports activities at the high school level in Alabama must complete this form. It is a mandatory requirement set by the Alabama High School Athletic Association (AHSAA) to ensure all participating athletes are physically able to engage in sports activities safely.
What are the parts of the form?
The form is divided into two main sections: the medical history review and the physical examination. The medical history review requires honest answers about the athlete's general health, past injuries, illnesses, and any medications they might be taking. The physical examination, conducted by a healthcare professional, assesses the athlete's current medical condition to ensure they are fit to participate in sports.
Can the physical examination be performed by any doctor?
The examination must be conducted by a licensed physician, which includes M.D.s (Doctors of Medicine) and D.O.s (Doctors of Osteopathic Medicine). The examining physician must certify that, based on their professional opinion, the student is able to participate in interscholastic athletics safely.
How often does the physical form need to be completed?
A complete physical evaluation on this form is valid for one calendar year from the date of the exam. Consequently, athletes are required to undergo this evaluation annually to continue their eligibility to participate in sports activities.
What happens if a student is not cleared for sports participation?
If a student is not cleared for participation, the examining physician will indicate the reasons and make recommendations. These might include undergoing further evaluation, rehabilitation, or abstaining from certain types of physical activities. Parents and guardians are encouraged to follow through with these recommendations before their child re-attempts participation in sports activities.
Is parental consent required for this physical evaluation?
Yes, parental or guardian consent is necessary for the physical evaluation process. A signature from a parent or guardian is required on the form, acknowledging that the information provided is accurate to the best of their knowledge and consenting to the student's participation in the physical examination.
Where should the completed forms be submitted?
Once completed, the form should be submitted to either the Superintendent's office or the Principal's office of the student's school. It is essential to ensure that the form is properly filed as part of the student's eligibility documentation for interscholastic athletic participation.
Filling out the Alabama High School Physical form is a critical step for student athletes aiming to participate in sports. However, common errors can occur during this process, leading to potential delays or complications in eligibility. Awareness and careful attention to detail can prevent these mistakes, ensuring a smoother participation path for young athletes.
Failing to answer all required questions accurately: One of the most frequent mistakes is leaving sections of the form blank or providing incomplete responses. The form asks specific questions about the student's medical history, current health status, and any past injuries or conditions that may affect participation in sports activities. Ensuring that every question is answered thoroughly and truthfully is crucial for the safety and well-being of the athlete.
Incorrectly describing medical history: Another common mistake is not providing a detailed explanation when answering "Yes" to any of the medical history questions. The form requires elaboration on any positive responses to understand the nature, severity, and treatment of past medical issues. Vague or insufficient descriptions can lead to misunderstandings about the athlete's ability to safely participate in sports.
Overlooking the need for parental or guardian signatures: The Alabama High School Athletic Association requires a signature from both the student athlete and a parent or guardian to verify the accuracy of the information provided and to consent to participation in sports. Skipping this step can result in an incomplete application, delaying the student's ability to play.
Not adhering to the form's update requirements: The physical examination form is valid for one calendar year from the date of the exam. Sometimes, individuals overlook the necessity to renew their form annually or shortly before it expires. This oversight can lead to eligibility issues at the beginning of the sports season, when students realize their physical is no longer current.
To ensure a student athlete's seamless transition into their desired sports program, carefully reviewing and accurately completing the Alabama High School Physical form is essential. A meticulous approach to filling out the form, coupled with an understanding of the most common mistakes, can help avoid delays or issues in participation eligibility. It's not just about checking boxes; it's about safeguarding the health and safety of young athletes as they pursue their sports endeavors.
When handling the Alabama High School Athletic Association (AHSAA) Preparticipation Physical Evaluation Form, it is critical to include other pertinent documents that ensure a comprehensive eligibility profile for high school athletes. These documents help in assessing the overall readiness and condition of students for participation in sports, ensuring their safety, and complying with state and local regulations. The following list includes documents often used alongside the AHSAA Preparticipation Physical Form:
Together, these documents form a crucial packet that supports the physical evaluation form, ensuring that all student athletes are properly informed, consent to participation, and are medically cleared to engage in sports activities. It is the responsibility of schools and athletic departments to collect and manage these documents efficiently, fostering a safe and compliant environment for high school sports.
The Alabama High School Physical form is similar to other documents used in the realm of student health and athletic participation. These resemblances highlight how standardized health evaluations play a crucial role in ensuring students' safety and well-being in various contexts.
One document that shares similarities with the Alabama High School Physical form is the Generic Student Health Form often found in schools across the nation. This form typically collects comprehensive health history information, including immunizations, chronic conditions, medications being taken, and allergies. Much like the Alabama form, it serves to alert school officials and caregivers to any special health needs or considerations a student may have, ensuring that all participants in school activities are well looked after. The key similarity lies in their comprehensive approach to gathering health data, though the generic form may not always include a section dedicated to physical examination findings.
Another related document is the Sports Preparticipation Evaluation used by many states other than Alabama. This evaluation often includes a history form that the student's guardian fills out, a physical examination section for the healthcare provider, and often a clearance form indicating eligibility status. These evaluations share a common goal with the Alabama High School Physical form: assessing a student's readiness to safely participate in school athletics. They all emphasize the importance of identifying any health issues that might compromise student safety during physical activities. The primary difference may be in the specific details and format requested, as some states or organizations require more specialized information based on local regulations or concerns.
Lastly, the Alabama High School Physical form bears resemblance to the Annual Wellness Check-Up Forms that many pediatricians use. While the wellness check-up forms are broader in scope, covering an extensive review of a child’s growth, development, and overall health, they also focus on assessing physical fitness for age-appropriate activities. Both forms play vital roles in preventative care, although the school physical form is more focused on physical capabilities related to sports and activities rather than comprehensive health. The wellness check-up form might delve deeper into nutritional, developmental, and psychological health, areas that are outside the primary focus of the sports physical form.
When filling out the Alabama High School Physical Form, it is important to follow specific guidelines to ensure the process is completed accurately and effectively. Below is a list of things you should and shouldn't do:
When delving into the complexities surrounding the Alabama High School Physical Form, various misconceptions tend to emerge. These misunderstandings can lead to unnecessary confusion and missteps in properly completing the form for high school athletics participation. It's crucial to address the most common misconceptions to ensure clarity for students, parents, and guardians navigating this process.
This is not the case. The form is designed to assess the overall health and fitness level of all students wishing to participate in athletics, regardless of their health history. It helps to identify any potential risks to the student or others during their participation in sports activities.
While it might seem convenient to have any healthcare professional complete the form, it must be signed by a licensed M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathic Medicine). This requirement ensures that a professional with a comprehensive understanding of the physical demands of competitive sports and the potential medical risks involved assesses the student.
Actually, a physical exam is valid for only one calendar year from the date of the examination. Students must undergo a physical examination annually to remain eligible for interscholastic athletics, ensuring that their health status is continuously monitored and managed appropriately.
The clearance provided on the Alabama High School Physical Form can be conditional. Depending on the findings, a student may be cleared without restrictions, cleared for certain types of sports (e.g., non-contact sports), or not cleared for any sports activity. The physician's recommendations are based on the specific health needs and risks ascertained during the evaluation.
Every question and section on the form, including detailed health history, plays a critical role in ensuring the safety of the student athlete. It is designed to uncover any conditions that might affect the student's ability to participate safely in sports. This includes previous injuries, ongoing medical conditions, or any special medical needs that might require attention in the context of athletic participation.
Understanding these misconceptions and the actual requirements can significantly streamline the process of completing the Alabama High School Physical Form. It ensures that students are appropriately evaluated for their participation in interscholastic athletics, aligning their health and safety with the vigorous demands of high school sports.
When it comes to the Alabama High School Athletic Association Preparticipation Physical Evaluation Form, here are some important takeaways to ensure a smooth process and compliance with state regulations:
By following these guidelines, students, parents, and guardians can navigate the preparticipation physical evaluation process more efficiently, ensuring the student's health and safety are prioritized and in alignment with Alabama's requirements for high school athletic participation.
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