Get Khsaa Physical Form - Assumption High School

Filling out the KHSAA Physical Form for Assumption High School is a crucial step to ensure student-athletes meet health and eligibility requirements. This guide provides clear, step-by-step instructions to help users complete the form efficiently and accurately.

Follow the steps to accurately complete the KHSAA Physical Form.

1. Press the ‘Get Form’ button to obtain the physical examination form and access it in your editor.
2. Begin with Part 1 - Student Information. Fill in the student's full legal name, home address, date of birth, and social security number in the designated fields.
3. Proceed to Part 2 - Student's Medical Information. Input the primary physician and dentist names along with their office phone numbers. Indicate whether the student has health insurance and provide the last tetanus shot date and insurance policy number.
4. In Part 3 - Parental Consent/Permission to Treat Authorization, both the parent/guardian signatures and dates are required for medical treatment consent. Ensure to fill out any specific physician or hospital preference if applicable.
5. Complete Part 4 - Medical Information Relevant to Immediate Emergency Treatment by providing details on medications, allergies, medical conditions, and concussion history.
6. Then, address Part 5 - Medical History. Check 'yes' or 'no' for each medical question concerning past conditions or ailments and provide explanations for any 'yes' answers.
7. In Part 6 - Physical Examination, ensure the authorized health care provider fills out height, weight, blood pressure, and other necessary health details. The provider’s signature and date are also required.
8. Review all filled sections for completeness before returning the completed form. Save changes, download, print, or share the form as needed.

Complete your KHSAA Physical Form online today to ensure your eligibility for athletic participation!