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Alabama High School Physical Template

The Alabama High School Physical Form is a crucial document that ensures students are physically prepared for participation in school sports. This form requires a thorough evaluation by a physician, confirming that the student is fit for athletic activities. It helps protect the health and safety of young athletes while complying with state regulations.

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The Alabama High School Physical form is a crucial document for students wishing to participate in athletics at the high school level. This form serves multiple purposes, ensuring that young athletes are physically fit and healthy enough to engage in sports. It begins with a comprehensive history section, where students provide personal details such as their name, age, address, and the school they attend. This section also includes inquiries about any past medical issues, such as injuries, surgeries, or chronic conditions, which may affect their ability to participate in sports. The physical examination component follows, where a licensed physician evaluates the student’s overall health, including cardiovascular and musculoskeletal assessments. The physician's findings determine whether the student is cleared for participation, and if not, the form specifies any necessary evaluations or rehabilitation. Importantly, the form must be submitted to the school’s administration to ensure compliance with the Alabama High School Athletic Association's regulations. This process not only safeguards the health of student-athletes but also promotes a culture of safety and responsibility within school sports programs.

Key takeaways

When filling out and using the Alabama High School Physical form, it is essential to understand its purpose and requirements. Here are some key takeaways:

Eligibility Requirement: A current physician's statement is necessary for students to participate in interscholastic athletics. This statement must confirm that the student has passed a physical exam.
Annual Validity: The physical examination results are valid for one calendar year from the date of the exam. It is crucial to keep track of this date to ensure continued eligibility.
Comprehensive Medical History: The form requires detailed medical history, including any past injuries, surgeries, or medical conditions. This information helps the physician assess the athlete's readiness for sports participation.
Signature Requirement: Both the athlete and a parent or guardian must sign the form. This signature attests that the information provided is accurate and complete.
Physician's Clearance: The physician must indicate whether the athlete is cleared for participation. This includes specifying any restrictions based on the athlete's health status.
Use of AHSAA Form: The Alabama High School Athletic Association mandates the use of their specific form (Form 5) for physical evaluations. Using the correct form is essential for compliance.

Understanding these key points can help ensure that athletes meet the necessary requirements for participation in sports while safeguarding their health and well-being.

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Documents used along the form

In addition to the Alabama High School Physical form, several other documents are commonly used to ensure a student-athlete's readiness for participation in sports. Each of these forms serves a specific purpose in maintaining the health and safety of young athletes.

Emergency Contact Form: This document provides essential information about whom to contact in case of an emergency during practice or competitions. It typically includes names, phone numbers, and relationships of emergency contacts.
Non-Disclosure Agreement Form: This legal contract protects sensitive information shared between parties involved in sports, ensuring confidentiality, and fostering trust. For more details, visit https://californiadocsonline.com/non-disclosure-agreement-form/.
Concussion Awareness Form: This form educates athletes and their guardians about the signs and symptoms of concussions. It also requires acknowledgment that the athlete has received this information and understands the importance of reporting any suspected concussion.
Insurance Information Form: This document collects details about the athlete's health insurance coverage. It ensures that any medical expenses incurred during athletic activities can be addressed promptly.
Parent/Guardian Consent Form: This form requires a parent or guardian's permission for the student to participate in sports. It often includes waivers that protect the school and its staff from liability in case of injuries.
Health History Form: This document gathers comprehensive information about the athlete's medical history, including previous injuries, surgeries, and any ongoing health conditions. This information helps medical staff make informed decisions regarding the athlete's participation.

These documents work together to create a comprehensive approach to student-athlete health and safety. Ensuring that all forms are completed accurately and submitted on time is crucial for a smooth athletic experience.

Dos and Don'ts

Do ensure all sections of the form are filled out completely. Missing information can delay the processing of your physical evaluation.
Do provide accurate medical history. This includes any past injuries, surgeries, or ongoing medical conditions.
Do sign the form in the designated areas. Both the athlete and a parent or guardian must provide their signatures.
Do keep a copy of the completed form for your records. This can be helpful for future reference or if any questions arise.

Don't rush through the form. Take your time to read each question carefully and respond thoughtfully.
Don't leave any questions unanswered, even if they seem irrelevant. Every piece of information is important.
Don't forget to include your contact information. This allows for easy communication if any issues come up.
Don't submit the form without a physician's signature. A valid physical exam must be certified by a licensed medical professional.

Common mistakes

Filling out the Alabama High School Physical form is a crucial step for student-athletes. However, many make common mistakes that can lead to delays or complications in their eligibility. One frequent error is not providing complete personal information. Missing details such as the athlete's name, age, or school can result in the form being rejected. It is essential to ensure all sections are filled out accurately.

Another mistake involves answering medical history questions. Some individuals either skip these questions or provide vague responses. For instance, if an athlete has a history of concussions or other significant health issues, it is critical to disclose this information. Omitting such details can pose risks during participation in sports and may lead to liability issues.

Additionally, athletes often fail to update their medical history. If a student has had recent surgeries, injuries, or changes in medication, these should be reported. The form requires current information to assess the athlete's fitness for participation. Ignoring this can lead to serious health consequences.

Some parents or guardians mistakenly sign the form without reviewing it thoroughly. This oversight can result in the submission of incorrect or incomplete information. Parents should take the time to ensure that all responses are accurate before signing.

Another common error is neglecting to obtain a physician's signature. The form clearly states that a qualified medical professional must certify the athlete's ability to participate. Without this signature, the form is incomplete and invalid.

Many individuals also overlook the importance of the date on the form. The physical examination must be current, and the date of the exam should be clearly indicated. A physical is only valid for one calendar year, so it is vital to ensure that the date falls within this timeframe.

In some cases, athletes may fail to follow up on any recommendations made by the physician. If a doctor advises further evaluation or rehabilitation, it is essential to complete these steps before participating in sports. Ignoring these recommendations can jeopardize the athlete's health and safety.

Finally, many people do not keep a copy of the completed form for their records. Having a duplicate can be helpful for future reference or if questions arise about the athlete's medical history. It is always wise to maintain a personal copy of important documents.

By being aware of these common mistakes, athletes and their families can ensure that the Alabama High School Physical form is filled out correctly. This attention to detail helps facilitate a smooth process for participation in interscholastic athletics.

File Characteristics

Fact Name	Details
Governing Body	The Alabama High School Athletic Association (AHSAA) oversees the physical form.
Eligibility Requirement	A current physician's statement is required for student athletes to participate in interscholastic athletics.
Age Range	The form is applicable for students in grades 7 through 12.
Form Validity	A physical exam remains valid for one calendar year from the date of the exam.
Physical Examination	The form includes a comprehensive evaluation covering various health aspects, such as cardiovascular and musculoskeletal health.
Clearance Options	Physicians can clear students, clear them after rehabilitation, or not clear them for specific activities.
Signature Requirement	Both the athlete and a parent or guardian must sign the form to validate the information provided.
Medical History Questions	The form includes questions about past medical issues, injuries, and current health conditions.

Form Sample

ALABAMA HIGH SCHOOL ATHLETIC ASSOCIATION	Revised 2018
Revised 2018	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?
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
			Student's name		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
Physical Examination					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			Revised 2018
			Vision R 20 / ____ L 20 / ____ Corrected: Y N

		LIMITED		Normal		Abnormal Findings

			Cardiovascular
			Cardiovascular

			Pulses

			Heart

			Lungs

			Skin

			E.N.T.

	COMPLETE		Abdominal

			Genitalia (males)
			Genitalia (males)

			Musculoskeletal

			Neck

			Shoulder

			Elbow

			Wrist

			Hand

			Back

			Knee

			Ankle

			Foot

			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.)

Rev. 2018 (The revised 2018 form is the official form accepted by the AHSAA.)