Get Mt Mhsa Pre-participation Physical Exam Form 2010-2025

Completing the MT MHSA Pre-Participation Physical Exam Form online is an essential step to ensure eligibility for student participation in sports. This guide provides clear, step-by-step instructions to help users accurately fill out each section of the form.

Follow the steps to successfully complete the online form.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by completing the history section together with the student. This includes entering the student's name, gender, address, phone number, parent's name, family physician, current school, date, grade, and date of birth. Ensure that both the student and parent sign the form to confirm their involvement.
3. Proceed to the questionnaire section. The student should answer 'Yes' or 'No' to the provided medical questions. Clear instructions indicate which answers need further explanation.
4. Once the questionnaire is completed, provide details about known allergies and immunizations. It’s important to include the date of the last tetanus shot.
5. After filling in the history and questionnaire, the form is sent to a medical provider. They will perform the physical examination and complete the provider's section, including examining various aspects of the student’s physical health.
6. Following the exam, the provider will indicate the clearance status. This includes a signature, which must be completed for final approval.
7. The parent or guardian must complete the permission and release section, certifying that the information provided is accurate. They should also sign the form to consent to medical care in case of emergencies.
8. Finally, the completed pre-participation physical exam form should be submitted to the appropriate school administrator. Users can save changes, download, print, or share the form as needed.

Complete the MT MHSA Pre-Participation Physical Exam Form online today to ensure eligibility for sports participation.