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The Alabama High School Physical form plays a crucial role in ensuring the safety and well-being of student-athletes participating in sports. This form requires detailed information about the athlete's medical history, including any past injuries, surgeries, or ongoing health issues. It also prompts questions about specific conditions such as asthma, diabetes, and allergies, which can significantly impact an athlete's performance and health during physical activities. Additionally, the form includes a section for a physical examination conducted by a licensed physician, who assesses the athlete's overall fitness and ability to participate in sports. The physician's evaluation is essential, as it provides a professional's insight into whether the student is cleared for participation in various types of athletic activities, ranging from non-contact to strenuous sports. Importantly, the form must be submitted to the school’s administration, ensuring that all necessary documentation is in place for compliance with the Alabama High School Athletic Association's regulations. This process not only safeguards the health of young athletes but also promotes a culture of responsibility and awareness regarding physical fitness and health management in schools.

Form Sample

ALABAMAHIGHSCHOOLATHLETICASSOCIATION
Name__________________________________________________Sex________ Age______ Dateof birth_______________
Address______________________________________________________________________ Phone______________________
School________________________________________________________Grade__________Sport______________________
PreparticipationPhysicalEvaluation Form
Revised 2018
History
Date_______________________
Explain“Yes”answersbelow: Yes No
1. Hasadoctoreverrestricted/deniedyourparticipationinsports?
2. Haveyoueverbeenhospitalizedorspentanightinahospital?
Haveeverhadsurgery?
3. Doyouhaveanyongoingmedicalconditions(likeDiabetesorAsthma)?
4. Areyoupresentlytakinganymedicationsorpills(prescriptionoroverthecounter?
5. Doyouhaveanyallergies(medicine,pollens,foods,beesorotherstinginginsects)?
6. Haveyoueverpassedoutduringorafterexercise?
Haveyoueverbeendizzyduringorafterexercise?
Haveyoueverhadchestpainordiscomfortinyourchestduringorafterexercise?
Doyoutiremorequicklythanyourfriendsduringexercise?
Haveyoueverhadhighbloodpressure?
Haveyoueverbeentoldthatyouhaveaheartmurmur,highcholesterol,orheartinfection?
Haveyoueverhadracingofyourheartorskippedheartbeats?
Hasanyoneinyourfamilydiedofheartproblemsorasuddendeathbeforeage50?
Doesanyoneinyourfamilyhaveaheartcondition?
Hasadoctoreverorderedatestonyourheart(EKG,echocardiogram)?
7. Doyouhaveanyskinproblems(itching,rashes,staph,MRSA,acne)?
8. Haveyoueverhadaheadinjuryorconcussion?
Haveyoueverbeenknockedoutorunconscious?
Haveyoueverhadaseizure?
Haveyoueverhadastinger,burner,pinchednerve,orlossoffeelingorweaknessinyourarmsorlegs?
9. Haveyoueverhadheatormusclecramps?
Haveyoueverbeendizzyorpassedoutintheheat?
10. Doyouhavetroublebreathingordoyoucoughduringorafteractivity?
Doyoutakeanymedicationsforasthma(forinstance,inhalers)?
11. Doyouuseanyspecialequipment(pads,braces,neckrolls,mouthguard,eyeguards,etc.)?
12. Haveyouhadanyproblemswithyoureyesorvision?
Doyouwearglassesorcontactsorprotectiveeyewear?
13. Haveyouhadanyothermedicalproblems(infectiousmononucleosis,diabetes,infectiousdiseases,etc.)?
14. Haveyouhadamedicalproblemorinjurysinceyourlastevaluation?
15. Haveyoueverbeentoldyouhavesicklecelltrait?
Hasanyoneinyourfamilyhadsicklecelldiseaseorsicklecelltrait?
16. Haveyoueversprained/strained,dislocated,fractured,brokenorhadrepeatedswellingorother
injuriesofanybonesorjoints?
HeadBackShoulderForearmHandHipKneeAnkle
NeckChestElbowWristFingerThighShinFoot
17. Whenwasyourfirstmenstrualperiod?___
_______________________________________________________________
Whenwasyourlastmenstrualperiod?____
_______________________________________________________________
Whatwasthelongesttimebetweenyourperiodslastyear?
________________________________________________
Explain“Yes”answers:
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
Iherebystatethat,tothebestofmyknowledge,myanswerstotheabovequestionsarecorrect.
Signatureofathlete
___________________________________________________________
Date
___________________
Signatureofparent/guardian
__________________________________________________
DUPLICATEASNEEDED
Rev. 2018 (The revised 2018 form is the official form accepted by the AHSAA.)
FORM5
Page 1 of 2
Revised 2018
Preparticipation Physical Evaluation
Physical Examination
Rule1,Sec.14 Inorderforastudenttobeeligibleforinterscholasticathletics,theremustbe
onfilein theSuperintendent’sorPrincipal’sofficeacurrentphysician’sstatementcertifyingthat
thestudenthaspassedaphysicalexam,andthatintheopinionoftheexaminingphysician(M.D.
orD.O.)thestudentisfullyabletoparticipateininterscholasticathletics(Grade s712).The
AHSAAPhysiciansCertificate(Form5 Rev. 2018)mustbeused. Aphysicalexamwillsatisfythe
requirement for one calendar year through the end of the month from the date of the exam. For
example, a physical given on May 5, 2019, will satisfy the requirement through May 31, 2020.
Clearance:
A. Cleared
B. Cleared after completing evaluation/rehabilitation for: _______________________________________
C. Not cleared for:
Collision
Contact
Noncontact ____ Strenuous ____ Moderately strenuous ____ Nonstrenuous
Due to: ____________________________________________________________________________________________
Recommendation: _________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Name of physician ________________________________________________________________ Date ____________________
Address ________________________________________________________________________ Phone___________________
.
Signature of physician _____________________________________________________________, M.D. or D.O.
LIMITED
Height ____________ Weight _____________ BP _____ / _____ Pulse ____________
Vision R 20 / ____ L 20 / ____ Corrected: Y N
Normal Abnormal Findings
Cardiovascular
Pulses
Heart
Lungs
Skin
E.N.T.
Abdominal
Genitalia (males)
Musculoskeletal
Neck
Shoulder
Elbow
Wrist
Hand
Back
Knee
Ankle
Foot
Other
(Form must be signed and dated by the attending physician.)
Rev. 2018 (The revised 2018 form is the official form accepted by the AHSAA.)
__________________________________________
Student's name
Revised 2018
COMPLETE

Document Specifications

Fact Name Details
Governing Law The Alabama High School Athletic Association (AHSAA) Rule 1, Sec. 14 mandates that students must have a current physician's statement on file to participate in interscholastic athletics.
Eligibility Requirement Students in grades 7-12 must pass a physical examination to be eligible for interscholastic athletics.
Validity Period A physical exam is valid for one calendar year from the date of the examination.
Form Specification The AHSAA Physicians Certificate (Form 5) must be utilized to certify the physical examination results.

Steps to Filling Out Alabama High School Physical

Filling out the Alabama High School Physical form is an important step for student-athletes. This form collects essential health information and ensures that students are fit to participate in sports. Completing it accurately helps protect the health and safety of the athlete.

  1. Begin by entering the Name of the student in the designated field.
  2. Fill in the Sex and Age of the student.
  3. Provide the Address where the student resides.
  4. Specify the School the student attends.
  5. Indicate the Grade level of the student.
  6. Answer the questions regarding the student’s medical history. For each question, indicate Yes or No as appropriate. Be sure to explain any "Yes" answers in the space provided.
  7. Record the Date of Birth and Phone number of the student.
  8. Select the Sport the student intends to participate in.
  9. Have the student and their parent or guardian sign and date the form to confirm the accuracy of the information provided.
  10. Ensure that a physician completes the Physical Examination section, including their findings and recommendations.

After completing the form, it should be submitted to the appropriate school office. This ensures that all necessary health documentation is on file, allowing the student to participate in sports activities without any issues.

More About Alabama High School Physical

What is the purpose of the Alabama High School Physical form?

The Alabama High School Physical form is designed to ensure that student-athletes are medically fit to participate in sports. It collects important health history information and requires a physical examination by a licensed physician. This process helps identify any potential health risks that could affect a student's ability to safely engage in athletic activities.

Who needs to complete the physical form?

All students in grades 7-12 who wish to participate in interscholastic athletics must complete the physical form. This requirement applies to all sports offered by the school. The form must be signed by both the student-athlete and a parent or guardian, confirming that the information provided is accurate to the best of their knowledge.

How often does a student need to submit a new physical form?

A new physical form must be submitted annually. The physical examination is valid for one calendar year from the date of the exam. If a student-athlete's physical expires, they will not be eligible to participate in sports until a new form is on file with the school.

What happens if a student is not cleared to participate?

If a student is not cleared to participate in sports, the examining physician will provide specific recommendations. These may include further evaluation or rehabilitation for existing conditions. The student should follow the physician's guidance and may need to undergo additional assessments before being cleared for athletic participation.

Common mistakes

  1. Inaccurate Personal Information: Failing to provide correct details such as name, age, or address can lead to complications. Ensure all personal information is accurate and up-to-date.

  2. Incomplete Medical History: Omitting past medical issues or injuries can affect the evaluation. All relevant health history should be disclosed, including surgeries and chronic conditions.

  3. Neglecting to Explain "Yes" Answers: If "yes" is marked for any medical questions, it is crucial to provide detailed explanations. This helps the physician understand the athlete's health better.

  4. Missing Signatures: Both the athlete and the parent or guardian must sign the form. A missing signature can invalidate the entire document.

  5. Not Updating the Form Annually: The physical evaluation is valid for one calendar year. Athletes must ensure they have a current form on file to participate in sports.

  6. Forgetting Contact Information for the Physician: Providing the physician's contact details is essential. This allows for easy communication regarding any medical concerns that may arise.

Documents used along the form

In addition to the Alabama High School Physical form, several other documents are often required for student-athletes. These forms ensure that all necessary health and eligibility information is collected and verified before participation in sports. Below are four commonly used forms that complement the physical evaluation.

  • Consent Form: This document is signed by a parent or guardian, granting permission for the student to participate in athletic activities. It typically outlines the risks associated with sports and confirms that the parent understands these risks.
  • Emergency Contact Form: This form provides essential contact information for parents or guardians in case of an emergency. It usually includes names, phone numbers, and alternative contacts to ensure quick communication if an athlete is injured or requires medical attention.
  • Health History Form: This document collects detailed information about the athlete's medical history, including past injuries, surgeries, and chronic conditions. It helps coaches and medical staff understand any specific health concerns that may affect the athlete's participation.
  • Insurance Information Form: This form requires details about the athlete's health insurance coverage. It ensures that the school has access to necessary information in case of an injury and can facilitate medical care as needed.

These forms work together to create a comprehensive profile of the student-athlete, ensuring their safety and eligibility in sports activities. Proper completion and submission of these documents are crucial for a smooth athletic experience.

Similar forms

The Alabama High School Physical form shares similarities with the NCAA Pre-participation Physical Evaluation (PPE) form. Both documents aim to ensure that student-athletes are medically fit to participate in sports. The NCAA PPE includes a comprehensive medical history section, similar to Alabama’s form, where athletes disclose past injuries, surgeries, and ongoing medical conditions. Additionally, both forms require a physician's signature to certify that the athlete has undergone a physical examination and is cleared for participation. This dual focus on medical history and physical assessment helps safeguard the health of student-athletes across different levels of competition.

Another document that resembles the Alabama High School Physical form is the AHA (American Heart Association) Sports Physical form. This form also emphasizes the importance of a thorough medical history and physical examination before engaging in sports activities. It includes sections for athletes to report previous health issues, such as heart conditions or respiratory problems. Like the Alabama form, the AHA Sports Physical requires a physician’s approval, ensuring that the athlete is not only physically capable but also free from any medical conditions that could pose a risk during sports participation.

The state-specific sports physical forms, such as those used in California, also align closely with the Alabama High School Physical form. These documents typically feature sections for personal information, medical history, and a physical examination report. They serve a similar purpose: to evaluate an athlete’s readiness to compete safely. Furthermore, both forms require a parent or guardian’s signature, highlighting the importance of parental involvement in the health and safety of young athletes. This consistency across state lines underscores a shared commitment to athlete welfare in youth sports.

Lastly, the AAP (American Academy of Pediatrics) Sports Preparticipation Physical Evaluation form is another document akin to the Alabama High School Physical form. This form provides a detailed assessment of an athlete's health, focusing on both medical history and a physical examination. It encourages healthcare providers to discuss any potential risks related to the athlete's health, similar to the inquiries made in the Alabama form. Both documents stress the necessity of a thorough evaluation to ensure that young athletes can participate safely, reflecting a unified approach to health assessments in sports.

Dos and Don'ts

When filling out the Alabama High School Physical form, it is important to ensure accuracy and clarity. Below is a list of things you should and shouldn't do to facilitate a smooth process.

  • Do provide complete and accurate personal information, including name, age, and address.
  • Do answer all medical history questions honestly to ensure the safety of the athlete.
  • Do have a parent or guardian sign the form if the athlete is under 18 years old.
  • Do include a contact number for the physician to facilitate communication if needed.
  • Do ensure the physician’s signature is present and legible to validate the examination.
  • Don't leave any sections blank; all questions must be answered to avoid delays.
  • Don't provide misleading information; this could endanger the athlete's health.
  • Don't forget to check the expiration date of the physical exam; it must be current.
  • Don't submit the form without reviewing it for any errors or omissions.

By following these guidelines, you can help ensure that the form is filled out correctly and that the athlete's health and safety are prioritized.

Misconceptions

  • Misconception 1: A physical form is only necessary for contact sports.

    This is incorrect. All students participating in any interscholastic athletics, regardless of the sport type, must complete the physical form to ensure their health and safety.

  • Misconception 2: A parent can sign the physical form without a doctor's approval.

    In reality, the form requires a physician's signature to certify that the student has passed a physical examination. Parent signatures alone are not sufficient.

  • Misconception 3: The physical exam is valid indefinitely.

    This is not true. The physical exam is only valid for one calendar year from the date of the exam. Students must have a current examination to participate in sports.

  • Misconception 4: Only students with prior injuries need to disclose their medical history.

    All students must provide complete medical history, regardless of previous injuries. This information helps ensure safe participation in sports.

  • Misconception 5: A physical exam can be performed by any healthcare provider.

    Only licensed physicians (M.D. or D.O.) can complete the physical examination and sign the form. This requirement ensures a standard of care.

  • Misconception 6: Students can participate in sports while waiting for their physical exam results.

    This is not allowed. Students must have a completed and signed physical form on file before they can participate in any athletic activities.

Key takeaways

Completing the Alabama High School Physical form is an essential step for student-athletes. Below are key takeaways to ensure a smooth process.

  • Eligibility Requirement: A current physician's statement is necessary for participation in interscholastic athletics.
  • Form Usage: The AHSAA Physicians Certificate (Form 5) must be utilized for the physical examination.
  • Annual Requirement: A physical exam is valid for one calendar year from the date of the exam.
  • Comprehensive History: The form requires detailed medical history, including any past injuries or conditions.
  • Signature Requirement: Both the athlete and a parent or guardian must sign the form to validate the information provided.
  • Physical Examination: A thorough physical exam is conducted by a licensed physician (M.D. or D.O.) to assess the athlete's fitness.
  • Clearance Categories: The physician will indicate if the athlete is cleared, cleared with conditions, or not cleared for participation.
  • Specific Recommendations: The physician may provide recommendations based on the athlete's health status.
  • Important Information: Ensure that all sections of the form are filled out completely to avoid delays.
  • Record Keeping: The completed form should be kept on file in the Superintendent's or Principal's office for verification.

By understanding these key points, student-athletes and their guardians can navigate the process more effectively, ensuring compliance with Alabama's athletic regulations.