Get Dodea Form 21 Shsm H-12-3 Sport Physical

Completing the DoDEA Form 21 SHSM H-12-3 Sport Physical online is an essential step for students wishing to participate in school sports. This guide provides a clear and concise approach to filling out the form, ensuring that you can do so with ease and confidence.

Follow the steps to complete the DoDEA Form 21 SHSM H-12-3 Sport Physical online

1. Click ‘Get Form’ button to access the DoDEA Form 21 SHSM H-12-3 Sport Physical. This will allow you to open the form in an online editing platform.
2. Begin filling out the form by entering the student's name in the format of Last, First, Middle Initial. Ensure that the name is spelled correctly as it appears on official documents.
3. Next, provide the student's date of birth. Use the format MM/DD/YYYY to avoid confusion.
4. Indicate the student's current grade by selecting or entering the appropriate grade level.
5. The next section is to be completed by a licensed examining physician or Primary Care Manager (PCM). They must mark whether the student is cleared for sports participation by selecting 'YES' or 'NO'.
6. If there are any restrictions regarding the student's sports participation, document them clearly in the designated space.
7. Document any relevant medical conditions or medications the student may require, ensuring that it is comprehensive for the physician's review.
8. The examining physician must print their name and title in the appropriate section, followed by their signature and stamp to validate the form.
9. Remember that the physical exam is valid for one calendar year from the date it is signed by the PCM. Ensure this date is within valid limits.
10. After completing all fields, you can save your changes, download, print, or share the form as needed.

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