Get Wi Interscholastic Athletic Association Preparticipation Physical Evaluation Clearance Form 2020-2025

Filling out the Wisconsin Interscholastic Athletic Association Preparticipation Physical Evaluation Clearance Form online is an essential step for students planning to participate in interscholastic athletics. This guide provides clear, step-by-step instructions to ensure users can complete the form accurately and efficiently.

Follow the steps to successfully complete the clearance form online.

1. Press the ‘Get Form’ button to obtain the preparticipation physical evaluation clearance form and open it in your preferred editor.
2. Begin by entering the student's name. Fill in the last name, first name, and middle initial as required.
3. Input the student’s date of birth, age, sex, grade, and the school they attend, along with the city.
4. Provide the present address of the student.
5. Select the appropriate clearance option: 'Cleared without restriction', 'Cleared, with qualifications', 'Not cleared', or 'Pending further evaluation'. If applicable, specify the sports the student is cleared for or not cleared for.
6. If applicable, provide the reason for not being cleared or any recommendations for the student.
7. The examining physician should fill in their name and provide their signature, clinic name, address, and telephone number, along with the date of examination.
8. Fill in the parent/guardian's place of employment and provide information about the family physician and dentist.
9. Complete the insurance details, including the name of the private insurance carrier and the subscriber member name.
10. Fill out the emergency information section, including any allergies and additional medication information.
11. In the final section, obtain the parent/guardian's signature, along with the date to confirm permission for the student to participate in sports.

Start completing your WIAA Preparticipation Physical Evaluation Clearance Form online today to ensure a smooth experience for your athletic participation.