(this download includes the ohio department of health concussion information sheet and the lindsay's law signature form.) A current ohsaa official physical form must be on file in the mccord athletic office for sports participation including tryouts.
_____ medically eligible for all sports without restriction
Sports physical form ohio. 1565 egypt pike chillicothe, ohio 45601 p: Physical examination form.pdf | 401 kb. Please check line 2 and pick up a school insurance packet in the sports medicine office or the athletic office at the high school.
Please fully complete physical paperwork. Do you have allergies to medicines, pollens, foods, or slinging insects? Ohiohealth grove city health center.
If the child is participating in the special olympics please use: Ohio high school athletic association preparticipation physical examination form Setting the appointment at least six weeks before the start of the sport season allows time to treat any issues found, rehabilitate an existing injury, return for a follow up exam or improve conditioning for a safe and healthy start to your child’s sport season.
The executive director’s office, with support from its board of directors and feedback from the ohio joint advisory committee on sports medicine, the national federation of state high school associations and the ohio department of health along with support from the ohio lt. In sports for any reason? Washington county public schools 10435 downsville pike hagerstown, md 21740.
Do you have an ongoing medical condition (like diabetes or asthma)? Please fully complete physical paperwork ahead of time and bring all pages of the approved form signed and dated in order for your athlete to receive a physical. Download the ohio high school athletic association physical evaluation form.
Only pages 4 & 5 of the form which are completed by the medical professional need to be returned to the school office. A sports physical is conducted to ensure that certain athletes have the required physical attributes and condition in order to participate in certain events. The student’s health information will not be used for any other purpose unless you sign another authorization form permitting such additional use.
Special olympics medical form special olympics medical form instructions special olympics article 1 sports rules (appendix e) about the preparticipation physical evaluation (ppe) monograph, 5th edition This is a sample examination form for the use of ohio's school nurses. Please note this form should not be used in place of the special olympics form.
The purpose of this file is to help you assess the health condition of every member of a sports team. Bring this form with you for your high school physical appointment so that our physicians can fill it out for you. An official site of ohio.gov logo.
Deborah moore, senior director of compliance and sports. Ohio high school athletic association 4080 roselea place, columbus oh 43214 | fax: Jerry snodgrass, executive director and dr.
Complete and sign this form (with your parents if younger than 18) before your appointment. You want to be sure that they have a clean bill of health before you can allow them on the field to play. Sports physicals 3060 dayton xenia rd suite # a, beavercreek oh
And bring all pages of the approved form signed and dated in order for your athlete to receive a physical. Permission is granted to reprint for noncommercial, educational purposes with acknowledgment. These can help see if the athlete has a particular physical condition that could be considered as a health threat and prevent that athlete from participation.
The school needs the information to make decisions about the student's health and ability to participate in certain school sponsored and classroom activities, which require physical activity. All other information is completed online at final forms. Also included is the concussion form and sudden cardiac arrest form.