Get 2012-13 Physical Form - Kansas Wesleyan University Athletics

Completing the 2012-13 Physical Form for Kansas Wesleyan University Athletics is a vital step for all student-athletes. This guide provides detailed instructions on how to accurately fill out the form online, ensuring a smooth submission process.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the 2012-13 Physical Form and open it in your preferred editor.
2. Fill in the date of your exam at the top of the form. Ensure that you provide the date in the correct format (MM/DD/YYYY).
3. Under 'To Be Completed By All Student-Athletes', input your sport, student ID, legal name, preferred name, date of birth, and current year (freshman, sophomore, junior, or senior). Be diligent to enter accurate information.
4. Complete the Social Security Number (SSN), cell phone number, and current local address, including street, city, state, and zip code.
5. Enter details about your parent or legal guardian, including their name, phone number, and permanent address.
6. Provide comprehensive medical insurance information, including the head of household's name and date of birth, insurance company details, and whether the student is insured.
7. If applicable, fill out the section for personal medical insurance and provide the necessary details about any prescription or dental insurance.
8. Proceed to answer the medical history questions by circling 'Yes' or 'No' for each question. If you answer 'Yes', be prepared to provide further explanation in the space provided.
9. Fill in any medication details, allergies, cardiac and neurological history, and other relevant health information as per the sections provided.
10. Complete the immunization record section by providing dates of immunizations and any relevant information regarding exemptions, if applicable.
11. Sign the statement of physical examination and medical history, ensuring your information is accurate and complete.
12. Once everything is filled, save your changes, then choose to download, print, or share your completed form as necessary.

Start filling out your 2012-13 Physical Form online today to ensure your eligibility for Kansas Wesleyan University Athletics!