The Alabama High School Physical form is a crucial document that ensures student-athletes are medically fit to participate in sports. This form collects essential health information and requires a physician's evaluation to certify that a student can safely engage in athletic activities. To get started on your athletic journey, fill out the form by clicking the button below.
The Alabama High School Physical form is an essential document designed to ensure the health and safety of student-athletes participating in interscholastic sports. This form gathers crucial information about a student’s medical history, including any previous injuries, chronic conditions, and current medications. It begins with basic personal details such as the athlete's name, age, and school, followed by a comprehensive health questionnaire. This questionnaire prompts students to disclose any past medical issues, such as sprains, concussions, or allergies, which may affect their ability to compete safely. Additionally, the form requires a physical examination by a licensed physician, who will assess the athlete's overall fitness and determine their eligibility for participation in sports. This evaluation is not only a requirement for compliance with the Alabama High School Athletic Association (AHSAA) regulations but also serves as a proactive measure to identify any health concerns that could arise during physical activity. By completing this form, both athletes and parents contribute to a safer sporting environment, ensuring that young athletes are physically prepared and cleared for the demands of their chosen sports.
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.)
Completing the Alabama High School Physical form is essential for student-athletes. This process ensures that all necessary health information is accurately documented, allowing for safe participation in sports. Follow the steps below to fill out the form correctly.
The Alabama High School Physical form is designed to ensure that student-athletes are healthy enough to participate in sports. It collects important medical history and requires a physical examination by a licensed physician. This helps identify any health issues that may affect a student's ability to play safely.
All students in grades 7 through 12 who wish to participate in interscholastic athletics must complete the physical form. This includes students involved in any sports offered by their school, whether it’s football, basketball, soccer, or any other athletic activity.
A new physical form must be submitted every year. The physical exam is valid for one calendar year from the date it was performed. Therefore, students should plan to have their physicals done annually to maintain eligibility for sports participation.
The form requires basic information such as the student's name, age, address, school, and grade. It also asks about the student’s medical history, including any past injuries, surgeries, or health conditions. A physician must complete the physical examination section, providing their assessment and clearance status.
If a student is not cleared to participate, the physician will specify the reasons on the form. They may recommend further evaluation, rehabilitation, or indicate specific types of activities the student should avoid. It’s important for students and parents to follow up on these recommendations to ensure the student’s health and safety.
The completed physical form should be submitted to the school’s Superintendent or Principal’s office. It is essential for the form to be on file before the student can participate in any athletic activities. Schools may have specific deadlines for submission, so it’s wise to check with the school’s athletic department.
Failing to provide complete personal information such as name, age, and address can lead to delays in processing the form.
Not checking all relevant medical history questions can result in important health issues being overlooked.
Leaving out the signature of the athlete or parent/guardian renders the form invalid.
Providing inaccurate or incomplete answers to questions about past injuries or medical conditions can affect eligibility.
Not updating the form if there have been recent medical changes since the last physical exam can be a serious oversight.
Neglecting to include the date of the physical examination can cause confusion about the validity of the form.
Forgetting to indicate the sport the athlete will participate in may lead to complications during the approval process.
Not providing a physician's signature or using an unqualified individual can invalidate the physical evaluation.
Failing to submit the form to the correct school office can delay participation in sports.
Ignoring the clearance section of the form can lead to misunderstandings about the athlete's ability to participate.
The Alabama High School Physical form is essential for student-athletes, ensuring they are healthy enough to participate in sports. However, several other forms and documents are often required alongside this physical evaluation. Below is a list of these documents, each serving a specific purpose in the athletic eligibility process.
Each of these documents plays a vital role in ensuring the safety and well-being of student-athletes. By completing them thoroughly, athletes, parents, and schools can work together to create a safe and supportive sports environment.
The Preparticipation Physical Evaluation (PPE) form is similar to the NCAA Sports Physical Form. Both documents require a comprehensive medical history and a physical examination to assess a student-athlete's readiness for participation in sports. The NCAA form focuses on ensuring that athletes are free from medical conditions that could pose risks during competition. Additionally, both forms require signatures from a physician and a parent or guardian, emphasizing the importance of parental involvement in the health and safety of young athletes.
The AHA (American Heart Association) Health History Questionnaire bears similarities to the Alabama High School Physical form. Both documents aim to gather detailed health information from the athlete. The AHA questionnaire specifically focuses on cardiovascular health, asking about family history and personal risk factors. This information is crucial for ensuring that athletes do not have underlying heart conditions that could lead to serious health issues during physical activity.
The National Federation of State High School Associations (NFHS) Sports Physical Form is another comparable document. Like the Alabama form, the NFHS form requires athletes to provide a detailed medical history and undergo a physical examination. Both forms also include sections for documenting any previous injuries or health issues, ensuring that the examining physician has a comprehensive understanding of the athlete's health status before participation.
The US Soccer Federation Medical Release Form shares similarities with the Alabama High School Physical form as well. Both documents require a thorough medical evaluation and emphasize the need for a physician's approval before an athlete can participate in sports. The US Soccer form also includes specific questions about prior injuries and medical conditions, mirroring the Alabama form's approach to assessing an athlete's readiness to play.
The American Academy of Pediatrics (AAP) Sports Physical Form is another document that aligns with the Alabama High School Physical form. Both forms focus on the health and safety of young athletes by requiring a detailed medical history and a physical exam. The AAP form includes recommendations for age-appropriate physical activities and sports participation, similar to the guidance provided in the Alabama form regarding an athlete's ability to engage in various sports.
The Camp Health History Form is also similar in nature to the Alabama High School Physical form. Both documents collect information about an individual’s medical history, including allergies, medications, and previous injuries. This information is essential for ensuring the safety of participants in both athletic and camp environments, as it helps caregivers and medical personnel prepare for any potential health issues that may arise during activities.
Finally, the College Health Services Physical Examination Form mirrors the Alabama High School Physical form in its intent and structure. Both forms require a comprehensive medical history and a physical examination to determine an athlete's fitness for sports participation. The College Health Services form may also include additional sections on mental health and wellness, reflecting a growing awareness of the importance of overall health in sports participation, similar to the holistic approach taken in the Alabama form.
When filling out the Alabama High School Physical form, it is essential to follow specific guidelines to ensure the process is completed correctly. Below is a list of things you should and shouldn't do.
In reality, the physical form is mandatory for students participating in interscholastic athletics in Alabama. A current physician's statement must be on file.
The evaluation must be performed by a licensed physician (M.D. or D.O.). This ensures that the examination meets the required standards.
A physical exam is only valid for one calendar year from the date of the exam. Students must get a new exam each year to remain eligible.
Both the athlete and a parent or guardian must sign the form. This confirms that the information provided is accurate and complete.
The form must be completed and submitted before the start of the sports season. Late submissions can lead to ineligibility.
No student may participate in any athletic activities without a completed physical form on file. This is to ensure their health and safety.
The examination assesses overall health, including cardiovascular fitness, musculoskeletal health, and other medical conditions that may affect participation.
While the general requirements are similar, specific sports may have additional requirements or recommendations that must be followed.
When filling out the Alabama High School Physical form, consider the following key points: