Get Child And Youth Services Health Assessment Sports Physical Part A

Filling out the Child And Youth Services Health Assessment Sports Physical Part A form online is an essential step in ensuring that your child is ready to participate in physical activities. This guide provides clear, step-by-step instructions to help you navigate each section of the form with confidence.

Follow the steps to complete the form efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the sponsor's information in the first section, which includes the name, home telephone number, duty/work telephone, and cell telephone. Make sure to provide a complete sponsor unit/work address and their SSN.
3. Fill out the child health information. Provide the child’s name, birth date, and select their sex. If applicable, indicate if the child has ongoing medical concerns and whether they are enrolled in the Exceptional Family Member Program, providing explanations as necessary.
4. Proceed to the medical history section. Answer each question regarding past medical issues, hospitalizations, allergies, and ongoing medications by marking 'Yes' or 'No.' If you answer 'Yes' to any question, please provide additional details.
5. Complete the Sports Physical section, which includes a medical staff assessment. The licensed independent practitioner will fill out information such as age, height, weight, and blood pressure.
6. Indicate participation recommendations. Confirm whether the child can engage in all sports and normal physical activities.
7. Provide the special medical considerations in Part C if there are any unique needs or restrictions for your child to participate in CYS programs.
8. The licensed health care professional needs to provide their stamp, signature, and date in the designated area. Also, ensure that the parent or guardian prints their name and signs the form.
9. Once you have completed all sections, review the information for accuracy. After that, you can save the changes, download, print, or share the form as needed.

Get started by filling out your Child And Youth Services Health Assessment Sports Physical Part A online today.