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How to use or fill out Physician and Parental Permission, KHSAA Form GE04, Rev 4 13 - fcps with our platform
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Click ‘Get Form’ to open it in the editor.
Begin with Part I - Athlete Information. Fill in the student's name, school year, address, gender, grade, school, date of birth, and birthplace. Ensure all fields are accurately completed.
Proceed to Part II - Medical History. Both parent and student should check 'YES' or 'NO' for each medical question. If any questions are answered 'YES', provide explanations in the designated area.
In Part III - Physical Examination, leave this section blank for the authorized health care provider to complete during the physical exam. Ensure they fill out all necessary details regarding the student's health status.
Move to Part IV - Consent Information. Read through the consent statements carefully and ensure both student and parent/guardian sign where required.
Finally, complete Part V - Acknowledgment of Risk and Emergency Permission Form. Fill in all required information including emergency contact details and signatures from both student and parent/guardian.
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How long are sports physicals good for in Kentucky?
Both Ohio and Kentucky require a sports physical form to be on file with the school for grades 7-12 before tryouts or the first practice. Physical exam forms are valid for 13 months so a well care visit in March will cover kids fall sports physical exam requirements.
How long is a sports physical good for in Kentucky?
Once a childs sports physical is completed, its good for a full year. So, if parents want to schedule around the childs birthday and avoid the rush of summertime, that physical form is good until their birthday the following year, Dr. Shriver says.
How long are sports physicals good for?
Sports physicals are usually good for 1 year, though you probably will have to complete a sports form each season. If there are any changes in your health history, like a new injury or you notice new symptoms (such as chest pain or shortness of breath), you may need to see the doctor before being allowed to play.
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