Illinois Sports Physical Form
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Asthma anemia diabetes infections other: General forms and docs | handbook | terms & conditions | activity updates. Physical education yes no modified interscholastic sports (for. Baseball | basketball, boys | basketball, girls | bowling | cheerleading | chess. Safety glasses, glass eye, chest protector for arrhythmia, pacemaker, prosthetic device, dental bridge, false teeth, athletic support/cup.
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Physical examination requirements entire section below to be completed by md/do/apn/pa. The athlete does not have apparent clinical contraindications to practice and can participate in the sport(s) as outlined on this form. Find the document template you will need from the collection of legal form samples. Safety glasses, glass eye, chest protector for arrhythmia, pacemaker, prosthetic device, dental bridge, false.
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General forms and docs | handbook | terms & conditions | activity updates. Web edit illinois sports physical form 2022. Physical examination requirements entire section below to be completed by md/do/apn/pa. Web state of illinois certificate of child health examination. Do you have any ongoing medical conditions?
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Have you ever spent the night in the hospital? Have you ever had surgery? Fill in the required fields (these are yellowish). Web state of illinois certificate of child health examination. Asthma anemia diabetes infections other:
Physical Examination Requirements Entire Section Below To Be Completed By Md/Do/Apn/Pa.
Web print school & sports physicals routine physicals help ensure your child is safe, healthy, and prepared for school, sports, and other extracurricular activities. Safety glasses, glass eye, chest protector for arrhythmia, pacemaker, prosthetic device, dental bridge, false teeth, athletic support/cup. Effortlessly add and highlight text, insert images, checkmarks, and signs, drop new fillable areas, and rearrange or delete pages from your paperwork. Physical examination requirements entire section below to be completed by md/do/apn/pa.
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Web __________________________________________________________________________________________________ I Have Examined The Student Named On This Form And Completed The Preparticipation Physical Evaluation.
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The Athlete Does Not Have Apparent Clinical Contraindications To Practice And Can Participate In The Sport(S) As Outlined On This Form.
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