Get Los Angeles Unified School District Preparticipation Physical Evaluation Date Of Exam: Page 1 Of 2

Completing the Los Angeles Unified School District Preparticipation Physical Evaluation form is an essential step for students preparing to participate in interscholastic athletics. This guide provides clear, step-by-step instructions to help users accurately fill out the form online.

Follow the steps to successfully complete the evaluation form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out the form by entering the date of the exam in the designated field.
3. In the section labeled ‘Student's Name’, input the full name of the student as it appears on legal documents.
4. Check the appropriate box to indicate the sex of the student and enter their age and date of birth in the specified fields.
5. Provide the student’s current grade and school name in their respective fields.
6. List the sport(s) the student intends to participate in under the ‘Sport(s)’ field.
7. Enter the student’s home address and primary contact phone number.
8. Record the name of the personal physician or healthcare provider, if applicable, in the provided space.
9. Complete the emergency contact information, detailing the contact’s name, relationship to the student, and multiple phone numbers for the contact.
10. In the section regarding medicines and allergies, detail all medications currently being taken and specify any known allergies.
11. Answer the general questions honestly, circling any items for which the student does not know the answer. Ensure all sections are completed to provide clear context for the physician.
12. Consult with the student and guardians to review each health question thoroughly and provide accurate responses.
13. Finalize the form by securing signatures from both the student and a parent or guardian, confirming that the information provided is complete and correct.
14. After filling out all sections, you can save changes, download, print, or share the completed form as needed.

Complete the Los Angeles Unified School District Preparticipation Physical Evaluation form online today to ensure a smooth start to your athletic participation.