Fill in a Valid Alabama High School Physical Template

The Alabama High School Physical form is a crucial document that ensures student-athletes are medically fit to participate in sports. This form collects essential health information and requires a physician's evaluation to confirm that the student can safely engage in athletic activities. To ensure compliance and safety, it is important to fill out this form accurately and submit it promptly.

Start the process by clicking the button below to fill out the Alabama High School Physical form.

Fill in a Valid Alabama High School Physical Template

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The Alabama High School Physical form is a critical document for student-athletes participating in interscholastic sports. This form ensures that each athlete undergoes a thorough preparticipation physical evaluation to assess their health and fitness levels. It collects essential information, including the athlete's name, age, and school, as well as their medical history. The form includes a series of questions regarding past injuries, existing medical conditions, and any medications currently being taken. Additionally, it requires a physical examination conducted by a licensed physician, who will evaluate the athlete's cardiovascular health, musculoskeletal system, and overall physical readiness for sports. The physician's findings are documented, and the form must be signed by both the athlete and a parent or guardian, confirming the accuracy of the information provided. Importantly, the completed form must be submitted to the school's Superintendent or Principal to ensure compliance with the Alabama High School Athletic Association's regulations. This process not only safeguards the health of the athletes but also promotes fair play in school sports.

Alabama High School Physical Example

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.)

Click for Alabama High School Physical File

File Breakdown

Fact Name	Description
Governing Law	The Alabama High School Athletic Association (AHSAA) governs the physical evaluation requirements for student-athletes.
Eligibility Requirement	A current physician's statement must be on file for a student to be eligible for interscholastic athletics.
Physical Exam Validity	The results of a physical exam are valid for one calendar year from the exam date.
Required Forms	The AHSAA Physicians Certificate (Form 5) is required for documenting the physical evaluation.
Age Range	The form is applicable for students in grades 7-12 participating in interscholastic athletics.
Medical History Questions	The form includes questions about past injuries, medical conditions, and medications to assess the athlete's health.

Guide to Using Alabama High School Physical

Completing the Alabama High School Physical form is an important step for students who wish to participate in athletics. This form gathers essential health information and requires signatures from both the athlete and a parent or guardian. Follow these steps to ensure the form is filled out correctly.

Start by entering the athlete's Name at the top of the form.
Indicate the athlete's Sex and Age.
Fill in the Address of the athlete.
Write down the School the athlete attends.
Specify the Grade of the athlete.
Answer the health history questions carefully. Indicate Yes or No for each question regarding past medical issues, injuries, or conditions.
If you answer Yes to any question, provide detailed explanations in the space provided.
Complete the Date of Birth and Phone number sections.
Select the Sport the athlete will participate in.
Both the athlete and a parent or guardian must sign and date the form at the bottom to confirm the accuracy of the information provided.

Once the form is completed, it should be submitted to the appropriate school official. This will help ensure that the athlete is eligible to participate in their chosen sport.

Get Answers on Alabama High School Physical

What is the Alabama High School Physical form?

The Alabama High School Physical form is a document required for students participating in interscholastic athletics. It certifies that a student has undergone a physical examination and is cleared to participate in sports. This form must be completed by a licensed physician.

Who needs to fill out the form?

All students in grades 7-12 who wish to participate in interscholastic athletics in Alabama must complete the physical form. This includes students involved in any sport offered by their school.

What information is required on the form?

The form requires various details including:

Student's name
Sex and age
Address and school
Grade level
Medical history, including past injuries or conditions

Additionally, the physician will provide examination findings and clearance status.

How often does a student need to complete the physical?

A physical examination is valid for one calendar year from the date of the exam. Students must obtain a new physical if their previous one has expired before they can participate in sports.

What happens if a student is not cleared for participation?

If a student is not cleared for participation, the physician will specify the reasons on the form. This could include restrictions based on the type of sport or the intensity of activity. The student may need to complete further evaluations or rehabilitation before being cleared.

Can a parent or guardian fill out the medical history section?

Where should the completed form be submitted?

The completed physical form should be submitted to the Superintendent's or Principal's office at the student's school. It is essential that the form is filed before the student participates in any athletic activities.

What is the AHSAA Physicians Certificate?

The AHSAA Physicians Certificate, also known as Form 5, is the specific document that must be used to certify that a student has passed their physical examination. This certificate is part of the Alabama High School Physical form and must be completed by a licensed physician.

What should a student do if they have a chronic medical condition?

Students with chronic medical conditions should discuss their health status with their physician during the examination. It is crucial to disclose any ongoing issues, as the physician will determine the student's ability to participate in sports based on their overall health and specific condition.

Common mistakes

Filling out the Alabama High School Physical form can be straightforward, but there are common mistakes that people often make. One frequent error is failing to provide complete and accurate personal information. This includes not filling in the athlete's name, age, and address properly. Incomplete or incorrect details can delay the processing of the form and may lead to complications when trying to verify eligibility.

Another mistake is neglecting to answer all the medical history questions thoroughly. The form asks about past injuries, surgeries, and medical conditions. Some individuals may skip these questions or provide vague answers. This can result in the examining physician lacking essential information needed to assess the athlete's fitness for participation in sports.

Additionally, individuals sometimes overlook the importance of obtaining the required signatures. Both the athlete and the parent or guardian must sign the form. If either signature is missing, the form may be considered invalid, preventing the athlete from participating in their chosen sport.

Lastly, people may forget to keep a copy of the completed form. While the form must be submitted to the school, having a duplicate can be beneficial for personal records. This ensures that both the athlete and their guardians have access to the information in case any questions arise later on.

Documents used along the form

When preparing for participation in high school athletics in Alabama, several important forms and documents accompany the Alabama High School Physical form. Each of these documents plays a crucial role in ensuring that student-athletes are healthy and ready to compete. Below is a list of commonly used forms that you may encounter.

AHSAA Physicians Certificate (Form 5): This form certifies that a student has passed a physical examination and is cleared to participate in sports. It must be signed by a licensed physician.
Parental Consent Form: This document grants permission for a student to participate in athletic activities. Parents or guardians must sign it, acknowledging the risks involved.
Emergency Contact Form: This form provides essential contact information in case of an emergency during athletic events. It typically includes names and phone numbers of parents or guardians.
Insurance Information Form: This document collects details about the student-athlete's health insurance coverage. It ensures that medical expenses can be addressed in case of injury.
Concussion Awareness Form: This form educates parents and athletes about the risks of concussions. It requires signatures to confirm understanding of the information provided.
Sudden Cardiac Arrest Awareness Form: Similar to the concussion form, this document informs parents and athletes about the signs of sudden cardiac arrest and requires acknowledgment of receipt.
Drug Testing Consent Form: If applicable, this form gives consent for the student to participate in random drug testing as part of school athletic policies.
Health History Form: This document collects comprehensive medical history, including past injuries and conditions that may affect athletic participation.
Physical Activity Readiness Questionnaire (PAR-Q): This self-screening tool helps determine if a student is ready to engage in physical activity based on their health status.
Release of Liability Waiver: This form releases the school and its staff from liability in case of injury during athletic participation. Parents or guardians must sign it to acknowledge the risks.

Completing and submitting these forms is essential for ensuring a safe and compliant athletic experience. Always keep copies for your records and stay informed about any updates or additional requirements from your school or the Alabama High School Athletic Association.

Similar forms

The Alabama High School Physical form is an important document for student-athletes. It ensures they are fit to participate in sports. Here are four other documents that are similar to the Alabama High School Physical form:

Preparticipation Physical Evaluation (PPE): This form is used across many states to assess a student-athlete's health before they can participate in sports. Like the Alabama form, it includes medical history and a physical examination to determine fitness for athletic activities.
Sports Physical Examination Form: Many schools require this document to confirm that a student is healthy enough to play sports. It includes similar questions about past injuries, medical conditions, and a physical exam, ensuring the athlete is ready for competition.
Health History Questionnaire: This document gathers information about an athlete's health background. It asks about previous injuries and medical issues, much like the Alabama High School Physical form. It helps medical professionals assess any risks before participation.
Emergency Contact and Medical Release Form: While not a physical exam, this form is essential for ensuring that emergency contacts are available if an athlete is injured. It complements the physical form by providing necessary information in case of an emergency during sports activities.

Dos and Don'ts

When filling out the Alabama High School Physical form, it's important to follow certain guidelines to ensure accuracy and compliance. Here are four things you should and shouldn't do:

Do provide complete and accurate information about your medical history.
Do ensure that both the athlete and parent/guardian sign the form.
Don't skip any questions, even if you think they may not apply to you.
Don't forget to have a licensed physician complete the physical examination section.

Misconceptions

Understanding the Alabama High School Physical form can be confusing. Here are eight common misconceptions about the form, along with clarifications to help you navigate the process.

All students need a new physical every year. This is not entirely true. A physical exam is valid for one calendar year from the date of the exam. Students do not need a new one until that year has passed.
Only athletes need to fill out the form. While the form is primarily for student-athletes, it is beneficial for all students participating in sports. It ensures that everyone is healthy enough to engage in physical activities.
Parents do not need to be involved in the process. Parents or guardians must sign the form, confirming that they understand the information provided. Their involvement is crucial.
The form only checks for physical injuries. The evaluation covers a range of health issues, including medical history, allergies, and any chronic conditions. It is a comprehensive assessment.
A physician's signature is optional. This is incorrect. A licensed physician (M.D. or D.O.) must sign the form to certify that the student is fit to participate in sports.
Any doctor can complete the form. While any licensed physician can perform the exam, it must be noted that the AHSAA Physicians Certificate (Form 5) specifically needs to be used.
The physical exam is just a formality. This misconception undermines the importance of the exam. It is a critical step to ensure the safety and well-being of student-athletes.
Students can participate in sports without a completed form. No, students must have a current physical form on file in the Superintendent's or Principal's office to be eligible for interscholastic athletics.

By addressing these misconceptions, we hope to clarify the requirements and importance of the Alabama High School Physical form. Ensuring the health and safety of students is a priority, and understanding the process can help everyone involved.

Key takeaways

Filling out the Alabama High School Physical form is essential for student-athletes. Here are four key takeaways to keep in mind:

Complete All Sections: Ensure that every part of the form is filled out accurately. This includes personal information, medical history, and details about any past injuries.
Obtain a Physician's Signature: A licensed physician must complete the physical examination and sign the form. This confirms that the student is cleared for participation in sports.
Understand the Validity Period: The physical exam is valid for one calendar year. Keep track of the date to ensure eligibility for the entire sports season.
File the Form Properly: Submit the completed form to the school's Superintendent or Principal's office. This ensures that the student-athlete is officially registered for participation.

By following these guidelines, student-athletes can ensure they are ready and eligible to compete safely in their chosen sports.