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The Sports Physical Form is a document used to assess an athlete's health and readiness for participation in sports activities. It collects essential information, including medical history and current health status, to help identify any potential risks. Completing this form is crucial for ensuring the safety and well-being of young athletes.

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The Sports Physical form is an essential document designed to ensure the health and safety of young athletes before they engage in sports activities. It begins with basic information such as the athlete's name, gender, date of birth, and contact details for parents or guardians. This section helps establish a clear line of communication in case of emergencies. One crucial aspect of the form is the medical alerts section, where any allergies or specific medical conditions should be noted. This information is vital for coaches and medical staff during practices and games. Additionally, the form includes a comprehensive medical history questionnaire that asks about the athlete's family health history, previous injuries, and any chronic illnesses. Parents and athletes are encouraged to answer these questions honestly, as they play a significant role in assessing potential risks associated with sports participation. Following the medical history, a physician must complete a physical examination section, documenting vital statistics such as height, weight, and blood pressure, along with a thorough evaluation of the athlete's overall health. Finally, the physician will provide a signature to certify that the athlete is medically cleared to participate, or note any restrictions if necessary. Completing this form accurately is a critical step in promoting a safe and healthy sports experience for young athletes.

Dos and Don'ts

When filling out the Sports Physical form, it’s important to ensure that all information is accurate and complete. Here’s a list of things you should and shouldn’t do to help streamline the process.

Do read the entire form carefully before starting to fill it out.
Do provide accurate personal information, including names and contact numbers.
Do answer all medical history questions honestly to ensure the athlete's safety.
Do indicate any medical alerts clearly, such as allergies or chronic conditions.
Do ensure the physician's section is completed and signed after the examination.

Don’t leave any sections blank; if a question doesn’t apply, write "N/A."
Don’t guess on medical history questions; if unsure, choose "Don’t Know."
Don’t use abbreviations or shorthand that could be misunderstood.
Don’t forget to include emergency contact information for quick access.
Don’t submit the form without reviewing it for errors or omissions.

Document Attributes

Fact Name	Description
Purpose of the Form	The Sports Physical form is designed to assess an athlete's health and readiness to participate in sports activities. It helps identify any medical conditions that may pose risks during physical activity.
Medical History Importance	Completing the medical history section is crucial. It provides insights into the athlete's past health issues, which can inform the physician's evaluation and ensure safety in sports participation.
Required Signatures	A licensed medical physician, physician’s assistant, or family nurse practitioner must sign the form. This certification confirms that the athlete has been examined and deemed fit for participation.
Emergency Contact Information	Parents or guardians must provide emergency contact details. This ensures that someone can be reached in case of an incident during sports activities.
State-Specific Regulations	Different states may have specific laws governing the use of Sports Physical forms. For example, in California, the law requires that all athletes have a physical examination every 12 months to participate in school sports.

Key takeaways

Filling out and using the Sports Physical form is an important process for ensuring the safety and health of young athletes. Here are some key takeaways to keep in mind:

Complete All Sections: Ensure that every section of the form is filled out accurately. This includes personal information, medical history, and emergency contact details. Missing information can delay the process or lead to complications.
Be Honest About Medical History: When answering questions regarding medical history, honesty is crucial. Disclosing any past injuries, illnesses, or family medical history helps healthcare providers assess risks and make informed decisions.
Consult with a Physician: After completing the form, schedule a physical examination with a qualified healthcare professional. This examination is essential for identifying any potential health issues that may affect athletic participation.
Keep Copies for Records: After the form has been completed and signed by the physician, make copies for your records. This ensures that you have documentation readily available for future reference or if any issues arise.
Review Participation Restrictions: If the physician notes any participation restrictions, be sure to understand them fully. These restrictions are in place to protect the athlete's health and should be communicated to coaches and relevant personnel.

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Example - Sports Physical Form

Sports Physical Form

Name: ______________________________________ Gender: M F Date of Birth: ___/___/___

Father’s Name: _________________________ Daytime phone, pager, cell phone: _______________________

Mother’s Name: ________________________ Daytime, phone, pager, cell phone: _______________________

Street address: _____________________________________________________________________________

City: _________________ State: _______ Zip Code: __________ Home phone: ________________________

Alternate Emergency Contact Person: ______________________ Daytime phone: _______________________

Please indicate MEDICAL ALERTS such as allergic reactions, contact lenses, etc.: ______________________

__________________________________________________________________________________________

Medical History:

Athletes and parents: This health record is a critical element in the determination of an athlete’s risk of injury in sports. Please take the time to read and answer all questions before seeing a physician for the athlete’s physical examination.

1.	Has anyone in the athlete’s family (grandparents, mother, father, brother, sister, aunt,	YES	NO	Don’t Know
	uncle) died suddenly before age 50?
2.	Has the athlete ever stopped exercising because of dizziness or passed out during exercise?	YES	NO	Don’t Know
3.	Does the athlete have asthma (wheezing), hay fever, or coughing spells after exercise?	YES	NO	Don’t Know
4.	Has the athlete ever had a broken bone, had to wear a cast, or had an injury to any joint?	YES	NO	Don’t Know
5.	Does the athlete have a history of concussion (getting knocked out)?	YES	NO	Don’t Know
6.	Has the athlete ever suffered a heat-related illness (heat stroke)?	YES	NO	Don’t Know
7.	Does the athlete have a chronic illness or see a doctor regularly for any particular problem?	YES	NO	Don’t Know
8.	Does the athlete take any medication(s)?	YES	NO	Don’t Know
9.	Is the athlete allergic to any medications or bee stings?	YES	NO	Don’t Know
10.	Does the athlete have only one of any paired organs? (Eyes, ears, kidneys, testicles, ovaries)	YES	NO	Don’t Know
11.	Has the athlete had an injury in the last year that caused the athlete to miss 3 or more	YES	NO	Don’t Know
	consecutive days of practice or competition?	YES	NO	Don’t Know
12. Has the athlete had surgery or been hospitalized in the past year?		YES	NO	Don’t Know
13. Has the athlete missed more than 5 consecutive days of participation in usual activities		YES	NO	Don’t Know
	because of illness, or has the athlete had a medical illness diagnosed that has not been
	resolved in the past year?
14.	Are you, the athlete, worried about any problem or condition at this time?	YES	NO	Don’t Know

Please give details on any “YES” answer from the above health history.

____________________________________________________________________________________________________________

__________________________________________________________________________________________

PHYSICAL EXAM – TO BE COMPLETED BY PHYSICIAN

Height __________	Weight __________	Pulse __________	Blood Pressure __________
Vision: R _____ / _____ uncorrected R _____ / _____ corrected			L _____ / _____ uncorrected L _____ / _____ corrected

Normal

Abnormal Findings

1.Eyes

2.Ears, Nose, Throat

3.Mouth & Teeth

4.Neck

5.Cardiovascular

6.Chest & Lungs

7.Abdomen

8.Skin

9.Genitalia-Hernia (male)

10.Muskuloskeletal: ROM, strength, etc.

a.neck

b.spine

c.shoulders

d.arms/ hands

e.hips

f.thighs

g.knees

h.ankles

i.feet

11.Neuromuscular

Initials

Please Print/ Stamp

Physician’s Name ___________________________________________________________________________________

Street Address _____________________________________________________________________________________

City, State, Zip Code ________________________________________________________________________________

Telephone _________________________________________________________________________________________

I certify that I have examined this athlete and found him/her medically qualified to participate in sports. I also certify that I am a licensed medical physician, physician’s assistant, or family nurse practitioner. (Doctor of Chiropractic Medicine is not satisfactory.)

Physician Signature __________________________________________________________ Date __________________

PARTICIPATION RESTRICTIONS: _________________________________________________________________

__________________________________________________________________________________________________

Detailed Instructions for Writing Sports Physical

Completing the Sports Physical form is essential for ensuring that athletes are healthy and ready to participate in sports activities. The following steps will guide you through filling out the form accurately and completely. Please ensure that all sections are filled out before submitting it to the physician for review.

Start by writing the athlete's Name at the top of the form.
Indicate the athlete's Gender by marking either "M" for male or "F" for female.
Fill in the Date of Birth in the format ___/___/___.
Enter the Father’s Name and provide a Daytime phone, pager, or cell phone number.
Provide the Mother’s Name along with a Daytime phone, pager, or cell phone number.
Complete the Street address, City, State, and Zip Code sections.
Fill in the Home phone number.
List an Alternate Emergency Contact Person and their Daytime phone number.
Indicate any MEDICAL ALERTS such as allergies or special conditions.
Answer the medical history questions by marking "YES," "NO," or "Don’t Know" for each question.
Provide details for any "YES" answers in the designated section.
Leave the PHYSICAL EXAM section blank for the physician to complete.
Once the physician has filled out the exam section, ensure they print or stamp their Name and provide their Street Address, City, State, Zip Code, and Telephone.
Make sure the physician signs and dates the form, certifying the athlete's medical qualification for sports participation.
If there are any PARTICIPATION RESTRICTIONS, ensure these are clearly noted by the physician.

Documents used along the form

When preparing for sports participation, various forms and documents are often required in addition to the Sports Physical form. Each of these documents serves a specific purpose in ensuring the safety and well-being of the athlete. Below is a list of commonly used forms that complement the Sports Physical.

Consent Form: This document allows parents or guardians to give permission for their child to participate in sports activities. It often includes acknowledgment of risks involved and may require a signature to ensure understanding.
Emergency Contact Form: This form provides essential information about whom to contact in case of an emergency. It typically includes names and phone numbers of family members or friends who can be reached quickly.
Medical History Form: This document collects detailed information about the athlete's past medical issues, allergies, and any ongoing treatments. It helps healthcare providers assess potential risks before the athlete participates in sports.
Dog Bill of Sale Form: For transferring dog ownership effectively, utilize the reliable Dog Bill of Sale form template to ensure all necessary details are documented accurately.
Insurance Information Form: Athletes or their guardians need to provide details about their health insurance coverage. This information is vital for managing medical expenses should an injury occur during sports activities.
Code of Conduct Agreement: This agreement outlines the expectations and responsibilities of athletes, coaches, and parents. It emphasizes sportsmanship, respect, and adherence to team rules, fostering a positive environment.
Waiver of Liability: This document protects the organization from legal claims in case of injury. By signing, participants acknowledge the inherent risks of sports and agree not to hold the organization responsible for accidents or injuries.

Having these forms completed and submitted can help streamline the process of getting ready for sports activities. Ensuring that all necessary documentation is in order not only promotes safety but also fosters a responsible and organized approach to youth sports participation.