Get Physical Clearance Form

Completing the Physical Clearance Form is essential for students who wish to participate in interscholastic athletics. This guide provides step-by-step instructions to ensure that you accurately fill out the form online, making the process straightforward and efficient.

Follow the steps to complete the Physical Clearance Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the student's name in the designated fields. Enter the last name, first name, and middle initial accurately.
3. Input the date of birth in the provided format, followed by the student's age.
4. Select the student's sex and provide the appropriate grade, along with the name of the school and the city it is located in.
5. Enter the present address of the student as requested.
6. Indicate the clearance status by selecting one of the options: 'Cleared without restriction,' 'Cleared with qualifications,' 'Not cleared,' or 'Pending further evaluation.' Provide any relevant details where applicable.
7. If required, note the specific sports for which the students are cleared or not cleared, along with any reason for their status.
8. Have the licensed physician or authorized personnel complete the physician's section by entering their name, signature, and clinic details.
9. Fill in the parent's or guardian's place of employment, family physician, family dentist, and insurance carrier information.
10. Provide emergency information such as allergies and any medications that are relevant. Indicate if immunizations are up to date.
11. Ensure that a parent or guardian signs and dates the form, authorizing their child's participation.
12. Once all fields are completed, save the changes. Download the form for your records, print, or share it as needed.

Complete the Physical Clearance Form online now to ensure your participation in interscholastic athletics.