Piaa physical form 2025

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  2. Begin by entering the athlete's personal information in the designated fields, including name, date of birth, and contact details. Ensure accuracy as this information is crucial for identification.
  3. Next, navigate to the medical history section. Here, you will need to provide details about any past injuries or medical conditions. Use the text boxes provided to give comprehensive answers.
  4. In the next section, fill out the physician's information. This includes their name, contact number, and signature. If you have a digital signature available, you can easily insert it using our platform’s signing feature.
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The student must be cleared to participate on or after April 1 based on a physical examination conducted within 12 months of the signature.
(PIAA) requires all students who wish to participate in an interscholastic sport to have a comprehensive initial pre-participation physical evaluation (CIPPE) by an Authorized Medical Examiner.
All student-athletes wishing to participate in a PIAA sanctioned sport must complete and submit the PIAA CIPPE form. If a student-athlete does not have this form submitted he is NOT allowed to participate in any athletic activity until all forms are submitted.
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piaa physical exam form