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Physical Forms Recommended by AAA

3/17/2011

The AAA recommends the following forms (from the American Academy of Family Physicians) to be used for Athletic Physicals:

1)  The "History Form" is completed by the parents and athlete each year.  This is the most important part of the evaluation.  The information obtained from the athlete and parents can help medical professionals identify potential areas of concern.  Every athlete should complete the "History Form."  The form should be kept on file by the school.
History Form  [Link will access all four (4) physical forms.]


2)  The "Physical Examination Form" is completed by the physician.  The form should be kept on file by the school.
Physical Examination Form

3)  The "Clearance Form"  may be used if the student athlete has been sent to one's personal physician or consulting subspecialist for further evaluation and final clearance.  Have theconsulting physician determine the athlete's disposition and add the completed form to the athlete's original physical.  It is helpful to send a copy of the completed initial physicial to the consultant to determine the need for the visit.  Alternatively, the "Clearance Form" may be completed by the examining physician or supervisor to summarize the findings on forms 1 - 3.  If used, the form should be kept on file by the school.  
Clearance Form

4)  The "Athlete with Special Needs Form" is only used for athletes who have disabilities caused by birth, disease, accident/trauma, or other.  The form should be kept on file by the school.
Athlete with Special Needs Form

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