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Click ‘Get Form’ to open the piaa physical 2015 form in the editor.
Begin with Section 1, where you will input personal and emergency information. Fill in the student's name, gender, date of birth, age, grade, and contact details for both the student and parent/guardian.
Move to Section 2 to certify parental consent. Ensure that all parts are completed by the parent/guardian, including signatures for each sport indicated.
In Section 3, have the student acknowledge understanding of concussion risks by signing and dating the section.
Proceed to Section 4 for sudden cardiac arrest acknowledgment. Both student and parent/guardian must sign this section as well.
Complete Section 5 by answering health history questions. Circle any questions you are unsure about and provide explanations for 'Yes' answers at the bottom.
Section 6 requires an Authorized Medical Examiner (AME) to complete a physical evaluation. Ensure this is done before submission.
If applicable, fill out Sections 7 and 8 for re-certification after any medical treatment or injury during the school year.
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It details parental consent requirements, concussion protocols, and appropriate measures for student safety prior to engaging in practices and competitions.Read more
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