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Iowa pre participation physical form 2012

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3.9 out of 5

34 votes

A grace period not to exceed thirty 30 days is allowed for expired certifications of physical examination. QUESTIONNAIRE FOR ATHLETIC PARTICIPATION Please type or neatly print this information Student s Name Male Female Date of Birth Grade Home Address Street City Zip School District Parent s/Guardian s Name Date Phone Family Physician Phone HEALTH HISTORY The following questions should be completed by the student-athlete with the assistance of a parent or guardian. A parent or guardian is requ ...

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Versions	Form popularity	Fillable & printable
IA Athletic Pre-Participation Physical Examination 2019	4.8 Satisfied (37 Votes)
IA Athletic Pre-Participation Physical Examination 2015	4.3 Satisfied (77 Votes)
IA Athletic Pre-Participation Physical Examination 2012	3.9 Satisfied (34 Votes)