Get Piaa Cippe Form Sections 1, 2, 3, 4, 5, 6, And 7 - May 26, 2011.doc

Filling out the PIAA Comprehensive Initial Pre-Participation Physical Evaluation (CIPPE) form is essential for any student participating in school sports. This guide will provide clear, step-by-step instructions on completing each section of the form online to ensure a smooth process.

Follow the steps to fill out the form correctly and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Section 1 requires filling out personal and emergency information. Enter the student’s name, gender, date of birth, age, grade, physical address, and phone numbers for both the home and parents or guardians. Specify the fall, winter, and spring sports the student intends to participate in.
3. In Section 2, the parent or guardian must provide consent for the student to participate in sports. Complete all parts of the section including the student’s name, date of birth, school name, and signature of the parent or guardian acknowledging eligibility rules and granting permission for medical treatment if necessary.
4. In Section 3, the student’s health history must be documented. Answer all questions accurately, circling any answers that are uncertain and explaining 'yes' responses at the designated area. Ensure the student and parent or guardian sign the section confirming the accuracy of the information.
5. Section 4 requires an Authorized Medical Examiner (AME) to conduct and document the comprehensive physical evaluation. The AME will provide information regarding the student’s fitness for participation, including any medical concerns that may affect participation in sports.
6. If the student is participating in subsequent sports in the same school year, complete Section 5. This re-certification ensures any changes in health status are updated. The parent or guardian answers supplemental health questions again and submits this section to the Principal or designee.
7. In Section 6, a licensed physician must certify if the student is fit or if there are any conditions that might limit participation. The physician should review previous sections and sign with their approval.
8. Finally, if the student is participating in wrestling, complete Section 7 which involves establishing and certifying the minimum wrestling weight. This must be done by an AME along with relevant assessments.
9. Upon completing and reviewing all sections, users can save changes, download, print, or share the form as necessary.

Complete the necessary forms online for your student’s participation in school sports today.