Homepage Blank Alabama High School Physical Form
Outline

The Alabama High School Physical form serves as a critical document for student athletes, ensuring their health and safety before participating in sports. This form encompasses various sections that gather essential information about the athlete's medical history, including past injuries, existing medical conditions, and any ongoing treatments. Parents or guardians are required to provide personal details about the student, such as name, age, and school, while also answering questions regarding the athlete's health, including any history of concussions, asthma, or other significant medical issues. A physical examination is mandated, conducted by a licensed physician, who assesses the athlete's overall fitness and readiness for sports participation. The physician's evaluation includes checks on vital signs, musculoskeletal health, and cardiovascular fitness, ultimately leading to a clearance status that determines the athlete's eligibility. This comprehensive approach not only safeguards the well-being of student athletes but also aligns with the regulations set forth by the Alabama High School Athletic Association, emphasizing the importance of physical readiness in the realm of interscholastic athletics.

Sample - Alabama High School Physical Form

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

Form Information

Fact Name Fact Description
Governing Body The Alabama High School Athletic Association (AHSAA) oversees the physical evaluation requirements for student-athletes in Alabama.
Eligibility Requirement Students in grades 7-12 must have a current physician's statement on file to participate in interscholastic athletics.
Physical Examination Validity A physical exam is valid for one calendar year from the date it is conducted.
Form Usage The AHSAA Physicians Certificate (Form 5) is the required document for certifying physical exams.
Medical History Questions The form includes questions about past injuries, medical conditions, and any ongoing health issues.
Signature Requirement Both the athlete and a parent or guardian must sign the form, confirming the accuracy of the provided information.
Physical Examination Components The examination assesses various physical aspects, including cardiovascular health, musculoskeletal condition, and overall fitness.
Clearance Categories Physicians can clear students for participation, clear them after rehabilitation, or deem them not cleared based on specific criteria.
Contact Sports Students must indicate if they are participating in collision, contact, or non-contact sports on the form.
Regulatory Reference The requirement for physical examinations is outlined in Rule 1, Section 14 of the AHSAA regulations.

Detailed Guide for Filling Out Alabama High School Physical

Completing the Alabama High School Physical form is an essential step for student-athletes. This form collects important health information and ensures that the student is ready for participation in sports. Follow the steps carefully to fill out the form accurately.

  1. Personal Information: Fill in your name, sex, age, address, school, and grade. Ensure all details are correct.
  2. Medical History: Answer the questions regarding your medical history. Indicate "Yes" or "No" for each question about previous injuries, conditions, or treatments.
  3. Specific Conditions: If you answered "Yes" to any questions, provide explanations in the space provided. Include details about the nature and duration of any issues.
  4. Signatures: Both the athlete and a parent or guardian must sign and date the form, confirming that the information provided is accurate.
  5. Physical Examination: A physician must conduct a physical exam and complete the evaluation section. This includes checking vital signs and assessing overall health.
  6. Physician's Recommendation: The physician will indicate whether the student is cleared for participation and any recommendations or restrictions that may apply.
  7. Contact Information: The physician must provide their name, address, and phone number, along with their signature to validate the examination.

Obtain Answers on Alabama High School Physical

  1. What is the Alabama High School Physical form?

    The Alabama High School Physical form is a document required by the Alabama High School Athletic Association (AHSAA) for students wishing to participate in interscholastic athletics. It certifies that the student has undergone a physical examination and is deemed fit to participate in sports.

  2. Who needs to complete this form?

    All students in grades 7-12 intending to participate in interscholastic athletics must complete the form. This includes students involved in any sport offered by their school.

  3. How often must the physical examination be conducted?

    A physical examination must be conducted at least once a year. The results are valid for one calendar year from the date of the exam.

  4. What information is required on the form?

    The form requires personal information such as:

    • Name
    • Sex
    • Age
    • Address
    • School
    • Grade

    It also includes a medical history section where the athlete must answer questions about previous injuries, medical conditions, and any medications being taken.

  5. What happens if a student is not cleared for participation?

    If a student is not cleared for participation, the form will indicate the reasons. The physician may recommend further evaluation or rehabilitation before the student can participate in sports.

  6. Who can perform the physical examination?

    The physical examination must be performed by a licensed physician (M.D. or D.O.). Only these professionals can certify that a student is fit to participate in athletics.

  7. What should I do if I need a duplicate of the form?

    If you need a duplicate of the Alabama High School Physical form, you can make copies as needed. Ensure that all information is accurately filled out on each copy.

  8. Is there a specific format for the physician's statement?

    Yes, the AHSAA Physicians Certificate (Form 5) must be used for the physician's statement. This ensures that all necessary information is included for compliance with AHSAA regulations.

  9. What should I do if I have questions about the form?

    If you have questions about the Alabama High School Physical form, contact your school’s athletic department or the AHSAA. They can provide guidance and clarification on any aspect of the form or the physical examination process.

Common mistakes

Filling out the Alabama High School Physical form is a crucial step for student-athletes. However, many people make common mistakes that can lead to delays or complications. Here are ten mistakes to avoid.

First, many individuals forget to include complete contact information. It’s essential to provide accurate phone numbers and addresses for both the athlete and the parent or guardian. Missing or incorrect details can cause communication issues later.

Another frequent error is not answering all the health questions thoroughly. Some may skip questions or provide vague answers. Each question is designed to gather important medical history. Omitting information can lead to safety risks during participation.

People often misinterpret the “Yes” or “No” questions. For instance, if an athlete has had a previous injury, they should answer “Yes” and provide details. Failing to do so may result in the athlete being cleared to play without proper consideration of their health.

Additionally, the form requires a signature from both the athlete and the parent or guardian. Some people neglect this step or only have one signature. Both signatures are necessary for the form to be valid.

Another mistake is not dating the signatures. It’s important to include the date when the athlete and parent sign the form. This ensures that the information is current and valid for the required timeframe.

Some individuals overlook the need for a physician’s statement. The form must include a physician's certification that the athlete has passed a physical exam. Without this, the form is incomplete.

People often forget to provide the date of the physical examination. This date is crucial for determining the validity of the physical, which is only good for one calendar year.

In some cases, individuals fail to check the clearance section properly. It’s important to ensure that the physician has indicated whether the athlete is cleared, cleared with conditions, or not cleared at all.

Another common oversight is not keeping a copy of the completed form. It’s wise to duplicate the form for personal records. This can be helpful for future reference or in case the school needs another copy.

Lastly, people sometimes ignore the instructions for submission. Ensure the completed form is submitted to the appropriate office, whether it’s the Superintendent’s or Principal’s office. Following the correct procedure is key to ensuring eligibility for participation in sports.

Documents used along the form

When preparing for participation in high school athletics in Alabama, various forms and documents complement the Alabama High School Physical form. Each document serves a specific purpose, ensuring that students are adequately prepared and cleared for athletic activities. Below is a list of commonly used forms that accompany the physical evaluation.

  • AHSAA Eligibility Form: This document verifies a student’s eligibility to participate in interscholastic sports. It includes information about the student’s academic standing, residency, and any previous athletic participation.
  • Emergency Contact Form: This form collects vital information about whom to contact in case of an emergency. It typically includes names, phone numbers, and relationships to the student.
  • Concussion Awareness Form: Acknowledging the risks associated with concussions, this form ensures that both athletes and parents understand the symptoms and protocols for dealing with head injuries.
  • Insurance Waiver: This document confirms that the student has health insurance coverage for any injuries that may occur during athletic activities. It often requires parents to provide policy details.
  • Parent/Guardian Consent Form: This form seeks permission from parents or guardians for their child to participate in sports. It often includes a section for them to acknowledge the risks involved.
  • Code of Conduct Agreement: Athletes are required to adhere to a set of behavioral standards. This agreement outlines expectations for conduct both on and off the field.
  • Health History Form: This document provides a comprehensive overview of the student’s medical history, including previous injuries, surgeries, and any ongoing health issues that may affect participation.
  • Physical Activity Readiness Questionnaire (PAR-Q): This form assesses the readiness of a student to engage in physical activity. It identifies any potential health risks that may require further evaluation.
  • Transportation Release Form: Parents must sign this form to grant permission for their child to travel to and from athletic events, often specifying the means of transportation.
  • Team Roster: Coaches maintain a roster that lists all team members. This document helps in organizing practices, games, and communication with players and parents.

These forms collectively ensure that students are safe, informed, and ready for their athletic commitments. Completing each document accurately and submitting them on time is crucial for a smooth participation process in high school sports.

Similar forms

The Alabama High School Physical form is essential for student-athletes, ensuring they are fit to participate in sports. Several other documents serve similar purposes in various contexts. Here’s a breakdown of those documents:

  • College Sports Physical Form: Similar to the Alabama form, this document is required for college athletes. It assesses the athlete's health and readiness for participation in college sports, ensuring they meet the necessary health standards.
  • Youth Sports Physical Form: This form is designed for younger athletes participating in community or recreational sports. It gathers similar health information to determine if the child is fit for physical activities.
  • Camp Health Form: Often required for summer camps, this document collects health history and physical examination results. It ensures that campers are healthy enough to participate in various activities.
  • Workplace Health Assessment: Employers may require a health assessment for physically demanding jobs. This document evaluates an employee's physical capability to perform specific tasks, similar to how the physical form assesses athletic readiness.
  • Military Entrance Medical Exam (MEME): Prospective military recruits must complete this exam to ensure they are physically fit for service. Like the athletic form, it requires a thorough health evaluation.
  • Driver's License Medical Certification: Some states require a medical form to ensure drivers are physically capable of operating a vehicle safely. This document serves a similar purpose in assessing health and fitness.
  • School Sports Injury Report: While not a pre-participation form, this document is crucial for reporting any injuries sustained during sports. It helps track the athlete's recovery and readiness for future participation.

Each of these documents emphasizes the importance of health evaluations in various settings, ensuring individuals are fit for their respective activities.

Dos and Don'ts

When filling out the Alabama High School Physical form, attention to detail is crucial. Here are five important dos and don’ts to keep in mind:

  • Do ensure accuracy: Double-check all your answers. Incorrect information can lead to delays in processing your form.
  • Do provide complete medical history: Be thorough in disclosing any past injuries or medical conditions. This helps ensure the safety of the athlete.
  • Do have a parent or guardian sign: If you are under 18, make sure a parent or guardian reviews and signs the form. Their approval is necessary.
  • Do keep a copy: After submitting the form, keep a copy for your records. This can be helpful for future reference.
  • Do consult your physician: If you have any questions about your health or the form, ask your doctor for clarification before filling it out.
  • Don’t rush through the form: Take your time to fill it out. Hasty answers can lead to mistakes.
  • Don’t leave questions blank: Answer every question to the best of your ability. If something doesn’t apply, indicate that clearly.
  • Don’t ignore the deadline: Submit the form well before any sports season begins to avoid missing out on participation.
  • Don’t forget to update it: If there are any changes in your health, fill out a new form. Keeping it current is essential.
  • Don’t hesitate to ask for help: If you're unsure about how to answer a question, reach out to a coach or school official for assistance.

Misconceptions

There are several misconceptions surrounding the Alabama High School Physical form that can lead to confusion among students and parents. Understanding these misconceptions can help ensure that all necessary steps are taken for student-athlete participation.

  • Misconception 1: The physical form is only required for contact sports.
  • In reality, all students wishing to participate in any interscholastic athletics, regardless of the sport's contact level, must complete the physical form. This includes non-contact sports as well.

  • Misconception 2: A physical exam is only needed once in high school.
  • This is not accurate. A physical exam is valid for one calendar year from the date of the exam. Therefore, students must ensure they have a current exam on file each year they wish to participate.

  • Misconception 3: Parents can sign the physical form without a doctor's approval.
  • This is incorrect. A physician's signature is mandatory on the form to certify that the student has passed the physical exam and is cleared for participation.

  • Misconception 4: The form can be completed without a thorough medical history.
  • Completing the medical history section is essential. This information helps the physician assess any potential risks and ensure the student’s safety during sports activities.

  • Misconception 5: The physical exam can be done by any healthcare provider.
  • The form specifically requires a licensed physician (M.D. or D.O.) to conduct the exam and sign the document. This ensures that the evaluation meets the standards set by the Alabama High School Athletic Association.

Key takeaways

Filling out the Alabama High School Physical form is an important step for student-athletes. Here are key takeaways to consider:

  • Accurate Information: Ensure that all personal details, such as name, age, and address, are filled out correctly.
  • Medical History: Provide complete and truthful responses regarding any past medical issues or injuries.
  • Parental Consent: A parent or guardian must sign the form, confirming the accuracy of the information and granting permission for participation.
  • Physician’s Evaluation: A licensed physician must conduct a physical examination and complete the evaluation section of the form.
  • Clearance Status: The physician will indicate whether the student is cleared for participation, cleared with conditions, or not cleared.
  • Validity Period: The physical examination is valid for one calendar year from the date of the exam.
  • Submission Requirement: The completed form must be submitted to the school’s Superintendent or Principal's office.
  • Specific Sports: The form should specify the sports in which the student intends to participate.
  • Emergency Contact: Include emergency contact information in case of injury or health issues during sports activities.
  • Follow-Up: If there are any medical concerns, follow up with the physician for further evaluation or rehabilitation recommendations.

Understanding these key points can help ensure that the process of filling out and using the Alabama High School Physical form goes smoothly.