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Click ‘Get Form’ to open the el2 form 2022 in the editor.
Begin by filling out Part 1: Student Information. Enter the student's name, sex, age, date of birth, school, grade, sport(s), home address, and contact information for the parent/guardian.
Proceed to Part 2: Medical History. Answer each question regarding medical conditions and history by selecting 'Yes' or 'No'. Be sure to provide explanations for any 'Yes' answers in the designated area.
In Part 3: Physical Examination, ensure a licensed physician completes this section. Input the necessary details such as height, weight, blood pressure, and other health assessments.
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Primary cares name and contact information. Medical history, including allergies and immunizations. For patients with a history of a heart ailment or cardiac event, a statement from your primary care provider or treating physician.
What is a Preparticipation physical evaluation form used for?
This form is used by a physician to examine children before they are allowed to participate in sports.
What is an EL2 form?
This document is a preparticipation physical evaluation form for a high school student. It collects medical history information over 3 pages and asks about any prior injuries or illnesses that could impact athletic participation. The form must be kept on file by the school.
What is the annual Preparticipation physical evaluation?
The general goals of a PPE are determining the general physical and psychological health of the athlete; evaluating for life-threatening or disabling conditions, including risk of sudden cardiac arrest and other conditions that may predispose the athlete to illness or injury; and serving as an entry point into the
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SUBMIT THIS MEDICAL ELIGIBILITY FORM TO THE SCHOOL. This form is valid for 365 calendar days from the date signed below. MEDICAL ELIGIBILITY FORM. Revised 3/23.
Aug 24, 2021 November 11, 2022. . Updated Table 10 to include NXOS-UPG-L-AD-XF upgrade license. . Updated sub-note 12 under Table 7. September 23, 2022. .
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