The Alabama High School Physical form is a document required for students participating in interscholastic athletics. This form ensures that each athlete has undergone a thorough physical evaluation by a licensed physician. It serves to confirm that the student is healthy and ready to engage in sports activities safely.
The Alabama High School Physical form is an essential document for student-athletes participating in interscholastic sports. This form serves multiple purposes, primarily ensuring that students are medically fit to engage in athletic activities. It begins with a section that collects basic information about the athlete, including their name, age, school, and grade. Following this, there are a series of health-related questions that inquire about the athlete's medical history. These questions cover a wide range of topics, such as past injuries, chronic conditions, and any current medications. This comprehensive approach helps to identify potential health risks that could affect the athlete's ability to participate safely in sports. Additionally, the form requires a physical examination by a licensed physician, who must evaluate the student’s overall health and provide a clearance statement. This ensures that the examining physician believes the student is capable of participating in sports without undue risk. The form is valid for one calendar year, emphasizing the importance of regular health assessments as students grow and their physical conditions change. Overall, the Alabama High School Physical form plays a critical role in promoting the health and safety of young athletes.
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 participating in interscholastic athletics. This form certifies that a student has undergone a physical examination and is deemed fit to engage in sports activities.
Who needs to complete this form?
All students in grades 7-12 who wish to participate in interscholastic athletics must complete this form. It is essential for ensuring that students are physically prepared for the demands of their chosen sports.
How often does the physical examination need to be conducted?
A physical examination must be conducted annually. The results of the exam are valid for one calendar year from the date of the examination. This means that students will need to obtain a new physical each year to remain eligible for sports participation.
What information is required on the form?
The form requires personal information such as the athlete's name, age, address, school, and grade. Additionally, it includes a medical history section where the athlete must disclose any past injuries, medical conditions, or ongoing treatments that may affect their ability to participate in sports.
Who is qualified to conduct the physical examination?
The physical examination must be performed by a licensed physician, either an M.D. (Doctor of Medicine) or a D.O. (Doctor of Osteopathic Medicine). This ensures that the examination is thorough and that the physician is qualified to assess the athlete's health status.
What happens if a student is not cleared to participate?
If a student is not cleared to participate, the physician will provide specific recommendations and may suggest rehabilitation or further evaluation. The form will indicate whether the student is cleared for different levels of activity, such as collision or non-contact sports.
Where should the completed form be submitted?
The completed physical form must be submitted to the Superintendent's or Principal's office of the student's school. It is important to ensure that the form is on file before the student begins participating in any athletic activities.
Can the form be duplicated?
Yes, the Alabama High School Physical Form can be duplicated as needed. Schools may require multiple copies for their records, so it is advisable to keep a few extra copies on hand.
This is not true. In Alabama, a current physical examination is required for all students participating in interscholastic athletics. Without this form on file, athletes cannot compete.
Only a licensed physician (M.D. or D.O.) can complete and sign the Alabama High School Physical form. This ensures that the athlete receives a professional assessment of their health.
This is incorrect. A physical exam is valid for only one calendar year from the date of the examination. Athletes must get a new exam each year to remain eligible.
Parents or guardians must sign the physical form. Their signature indicates that they are aware of their child's health status and consent to participation in sports.
The physical form assesses overall health, including medical history and current conditions. It looks at cardiovascular health, musculoskeletal issues, and other potential concerns that could affect athletic participation.
This is not the case. Athletes must use the specific AHSAA Physicians Certificate (Form 5) for their physical examination. This ensures compliance with state athletic regulations.
ALABAMA HIGH SCHOOL ATHLETIC ASSOCIATION
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
LIMITED
Normal
Abnormal Findings
Cardiovascular
Pulses
Heart
Lungs
Skin
E.N.T.
COMPLETE
Abdominal
Genitalia (males)
Musculoskeletal
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.)
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Incomplete Personal Information: Failing to provide all necessary personal details, such as name, age, and address, can lead to delays in processing. Ensure every section is filled out completely.
Missing Signatures: Both the athlete and the parent/guardian must sign the form. Omitting one of these signatures can invalidate the form, making it unusable.
Incorrect Medical History: Neglecting to accurately report past injuries or medical conditions may result in safety risks. Be honest and thorough when answering medical history questions.
Failure to Update Information: If there have been changes in health status since the last physical, these must be noted. An outdated form can lead to complications during participation.
Ignoring Physician's Recommendations: Not following through on any recommendations made by the examining physician can jeopardize the athlete's eligibility. Take all advice seriously and act accordingly.
When filling out the Alabama High School Physical form, attention to detail is crucial. Adhering to specific guidelines can ensure a smoother process. Below is a list of things you should and shouldn't do:
By following these guidelines, you can help ensure that your physical form is completed correctly and submitted on time, allowing for a smooth start to your athletic season.
The Alabama High School Physical form shares similarities with the NCAA Preparticipation Physical Evaluation form. Both documents are designed to assess the health and readiness of student-athletes before they engage in competitive sports. Each form requires detailed medical history, including past injuries, surgeries, and existing medical conditions. This thorough approach ensures that athletes are physically capable of participating in sports, thereby minimizing the risk of injury. Furthermore, both forms necessitate a physician's signature, confirming that the athlete has undergone a comprehensive examination and is cleared for participation.
Another document that resembles the Alabama High School Physical form is the AHA (American Heart Association) Preparticipation Screening form. Like the Alabama form, this document emphasizes the importance of cardiovascular health. It includes questions about family history of heart disease, previous heart conditions, and other risk factors. The goal is to identify any potential issues that could affect an athlete's performance or safety during physical activity. Both forms aim to protect student-athletes by ensuring that any underlying health concerns are addressed before they engage in strenuous activities.
The Sports Physical form used by many states is also comparable to the Alabama High School Physical form. This document serves a similar purpose, requiring athletes to disclose their medical history and undergo a physical examination. The focus is on identifying any health issues that may hinder an athlete's ability to compete safely. Both forms include sections for parental consent and a physician’s clearance, reinforcing the need for parental involvement and professional oversight in the athlete's health journey.
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Lastly, the UIL (University Interscholastic League) Physical Examination form utilized in Texas is akin to the Alabama High School Physical form. It serves the same essential function of ensuring that student-athletes are fit for competition. Both forms require a comprehensive medical history and a physical examination by a qualified physician. They also emphasize the importance of ongoing health monitoring, as athletes are often at risk for injuries or health complications due to the physical demands of sports. The requirement for a physician's approval underscores the shared commitment to athlete safety across different states and organizations.