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The Alabama High School Physical form is an essential document for any student athlete eager to participate in interscholastic sports. This form serves multiple purposes, beginning with a comprehensive preparticipation physical evaluation that assesses the athlete's overall health and fitness. It collects vital information, including the athlete's name, age, and medical history, ensuring that any previous injuries or medical conditions are documented. Parents or guardians must also sign the form, affirming that the information provided is accurate. The physical examination component evaluates various aspects of health, such as cardiovascular fitness, musculoskeletal strength, and any pre-existing conditions that may affect athletic performance. To maintain eligibility, this form must be on file with the school’s administration, certifying that a licensed physician has cleared the student for participation. Importantly, the results of the evaluation can dictate the level of participation allowed, whether cleared for full participation or requiring further evaluation. This thorough process not only safeguards the well-being of student athletes but also upholds the standards set by the Alabama High School Athletic Association.

Misconceptions

  • Misconception 1: The physical form is only necessary for athletes.
  • Many people believe that only students participating in sports need to complete this form. However, all students involved in any form of physical activity at school, including gym class, may be required to submit it.

  • Misconception 2: A physical exam is only needed once in high school.
  • Some think that a single physical exam covers all four years of high school. In reality, the exam must be updated annually to ensure the student’s health and fitness for participation.

  • Misconception 3: Parents can fill out the form without consulting a doctor.
  • While parents can provide information about their child's health history, a licensed physician must complete the physical examination section. This ensures a professional assessment of the student’s fitness.

  • Misconception 4: The physical form is the same for every state.
  • Each state has its own requirements and forms. The Alabama High School Physical form is specifically designed to meet the regulations set by the Alabama High School Athletic Association.

  • Misconception 5: Completing the form guarantees a student can participate in sports.
  • Filling out the form does not automatically mean a student is cleared to play. The examining physician must determine that the student is fit for participation based on the physical exam results.

  • Misconception 6: The physical exam only checks for injuries.
  • While injury history is important, the physical exam also assesses overall health, including cardiovascular fitness, musculoskeletal strength, and other vital health indicators.

  • Misconception 7: Students can use an old physical exam if they have not changed much.
  • Using an outdated physical exam is not permitted. The form must be current, reflecting the student’s health status at the time of participation.

Example - Alabama High School Physical Form

ALABAMA HIGH SCHOOL ATHLETIC ASSOCIATION

Revised 2018

Revised 2018

Preparticipation Physical Evaluation Form

 

History

Date_______________________

Name__________________________________________________ Sex ________ Age______ Date of birth _______________

Address ______________________________________________________________________ Phone______________________

School ________________________________________________________Grade __________ Sport ______________________

Explain “Yes” answers below:

 

 

 

 

 

Yes

No

1.

Has a doctor ever restricted/denied your participation in sports?

 

 

 

 

 

2.

Have you ever been hospitalized or spent a night in a hospital?

 

 

 

 

 

 

Have ever had surgery?

 

 

 

 

 

 

 

 

3.

Do you have any ongoing medical conditions (like Diabetes or Asthma)?

 

 

 

 

4.

Are you presently taking any medications or pills (prescription or over‐the‐counter?

 

5.

Do you have any allergies (medicine, pollens, foods, bees or other stinging insects)?

 

6.

Have you ever passed out during or after exercise?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever been dizzy during or after exercise?

 

 

 

 

 

 

 

 

Have you ever had chest pain or discomfort in your chest during or after exercise?

 

 

Do you tire more quickly than your friends during exercise?

 

 

 

 

 

 

 

Have you ever had high blood pressure?

 

 

 

 

 

 

 

 

Have you ever been told that you have a heart murmur, high cholesterol, or heart infection?

 

 

Have you ever had racing of your heart or skipped heartbeats?

 

 

 

 

 

 

Has anyone in your family died of heart problems or a sudden death before age 50?

 

 

Does anyone in your family have a heart condition?

 

 

 

 

 

 

 

Has a doctor ever ordered a test on your heart (EKG, echocardiogram)?

 

 

 

 

7.

Do you have any skin problems (itching, rashes, staph, MRSA, acne)?

 

 

 

 

 

8.

Have you ever had a head injury or concussion?

 

 

 

 

 

 

 

 

Have you ever been knocked out or unconscious?

 

 

 

 

 

 

 

 

Have you ever had a seizure?

 

 

 

 

 

 

 

 

 

Have you ever had a stinger, burner, pinched nerve, or loss of feeling or weakness in your arms or legs?

 

9.

Have you ever had heat or muscle cramps?

 

 

 

 

 

 

 

 

Have you ever been dizzy or passed out in the heat?

 

 

 

 

 

 

10. Do you have trouble breathing or do you cough during or after activity?

 

 

 

 

 

Do you take any medications for asthma (for instance, inhalers)?

 

 

 

 

 

11. Do you use any special equipment (pads, braces, neck rolls, mouth guard, eye guards, etc.)?

 

12. Have you had any problems with your eyes or vision?

 

 

 

 

 

 

 

Do you wear glasses or contacts or protective eye wear?

 

 

 

 

 

 

13. Have you had any other medical problems (infectious mononucleosis, diabetes, infectious diseases, etc.)?

 

14. Have you had a medical problem or injury since your last evaluation?

 

 

 

 

 

15. Have you ever been told you have sickle cell trait?

 

 

 

 

 

 

 

 

Has anyone in your family had sickle cell disease or sickle cell trait?

 

 

 

 

 

16. Have you ever sprained/strained, dislocated, fractured, broken or had repeated swelling or other

 

 

injuries of any bones or joints?

 

 

 

 

 

 

 

 

 

Head

Back

Shoulder

Forearm

Hand

Hip

Knee

Ankle

 

 

Neck

Chest

Elbow

Wrist

Finger

Thigh

Shin

Foot

 

17.When was your first menstrual period?__________________________________________________________________

When was your last menstrual period?___________________________________________________________________

What was the longest time between your periods last year?________________________________________________

Explain “Yes” answers:

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

I hereby state that, to the best of my knowledge, my answers to the above questions are correct.

Signature of athlete ___________________________________________________________ Date ___________________

Signature of parent/guardian __________________________________________________

FORM 5

DUPLICATE AS NEEDED

Rev. 2018 (The revised 2018 form is the official form accepted by the AHSAA.)

Page 1 of 2

Preparticipation Physical Evaluation Rule 1, Sec. 14 — In order for a student to be eligible for interscholastic athletics, there must be

on file in the Superintendent’s or Principal’s office a current physician’s statement certifying that

__________________________________________ the student has passed a physical exam, and that in the opinion of the examining physician (M.D.

 

 

 

Student's name

or D.O.) the student is fully able to participate in interscholastic athletics (Grade s 7‐12). The

 

 

 

AHSAA Physicians Certificate (Form 5 Rev. 2018) must be used. A physical exam will satisfy the

 

 

 

 

 

Physical Examination

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.

 

 

 

 

 

 

 

 

 

 

Height ____________ Weight _____________ BP _____ / _____ Pulse ____________

 

 

 

 

Vision R 20 / ____ L 20 / ____ Corrected: Y N

Revised 2018

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIMITED

 

Normal

 

 

Abnormal Findings

 

 

 

 

 

 

 

 

 

 

 

Cardiovascular

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pulses

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Heart

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lungs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Skin

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E.N.T.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETE

 

Abdominal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Genitalia (males)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Musculoskeletal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Neck

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shoulder

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Elbow

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wrist

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hand

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Back

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Knee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ankle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Foot

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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.

(Form must be signed and dated by the attending physician.)

Rev. 2018 (The revised 2018 form is the official form accepted by the AHSAA.)

Similar forms

The Preparticipation Physical Evaluation (PPE) form is similar to the NCAA Sports Physical form. Both documents serve to assess an athlete's health before they participate in sports. The NCAA form collects information about medical history and current health status, much like the Alabama High School Physical form. Athletes must disclose any past injuries or conditions that could affect their performance. Additionally, both forms require a physician's signature to certify that the athlete is fit to play, ensuring safety and compliance with regulations.

When engaging in the purchase or sale of a vehicle, having a firm understanding of the necessary documentation is crucial. A significant resource for this process is the essential Motor Vehicle Bill of Sale for legal transactions. You can find a template for this form at the Motor Vehicle Bill of Sale form template.

Another comparable document is the AHA (American Heart Association) Preparticipation Screening form. This form focuses on cardiovascular health, asking athletes about their family history of heart conditions and any symptoms they may experience during physical activity. Similar to the Alabama High School Physical form, it aims to identify potential health risks before participation in sports. Both documents emphasize the importance of a thorough health evaluation to protect athletes from serious health issues.

The Sports Physical Examination form used by many state athletic associations also shares similarities with the Alabama form. This document typically includes sections for medical history, physical examination results, and clearance for participation. Like the Alabama High School Physical form, it requires a physician's evaluation to ensure that athletes are physically capable of competing. The goal of both forms is to promote athlete safety by identifying any health concerns that need to be addressed before sports participation.

Lastly, the Camp Health History form is another document that aligns closely with the Alabama High School Physical form. This form collects information about an individual's health history and any medications they may be taking. While it is often used for summer camps, it serves a similar purpose of ensuring that participants are healthy enough for physical activities. Both forms require detailed answers regarding past injuries and medical conditions, helping to create a safe environment for all participants.

Common mistakes

Filling out the Alabama High School Physical form accurately is essential for student-athletes. However, many individuals make common mistakes that can lead to complications. One frequent error is failing to provide complete personal information. This includes not filling out the athlete's name, age, or school correctly. Incomplete details can delay the processing of the form and may hinder the athlete's eligibility to participate in sports.

Another mistake often seen is not answering medical history questions thoroughly. When athletes skip questions or provide vague answers, it can lead to misunderstandings about their health status. For instance, if a student has a history of concussions but does not disclose this information, it can pose serious risks during physical activities. It is important to answer all questions honestly and in detail to ensure the safety of the athlete.

In addition, some individuals overlook the importance of signatures. Both the athlete and a parent or guardian must sign the form. Without these signatures, the form is considered incomplete and cannot be accepted. This oversight can result in the athlete being unable to participate in practices or games until the form is properly signed and submitted.

Lastly, failing to keep a copy of the completed form is another common mistake. It is advisable to make a duplicate of the form for personal records. This ensures that both the athlete and their family have access to the information in case it is needed for future reference. Keeping a copy can also help in case any issues arise regarding the athlete's eligibility.