Olyurethane, or an alternate material of the same minimum thickness and similar physical properties to protect in injury as directed in writing by a licensed medical physician.. Note to physician: Please fill this form out in its entirety. Any portion not completed will invalidate this form causing the officials to refuse the athlete participation. FORM MUST INDICATE DATES THE ATHLETE IS ABLE TO PLAY VHSL FOOTBALL WITH HARD CAST SPLINT APPLIANCE. Please discuss with the athletic trainer any spe.
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How to fill out the FCPS Cast Rule Physician's Release online
The FCPS Cast Rule Physician's Release is a crucial document for athletes who require the use of hard protective casts during participation in football. Properly completing this form ensures that the athlete can safely engage in practices and games as directed by a licensed medical physician.
Follow the steps to fill out the FCPS Cast Rule Physician's Release online.
- Press the ‘Get Form’ button to access the FCPS Cast Rule Physician's Release and open it in your preferred editor.
- Fill in the school name and the name of the athletic trainer in the designated fields to ensure proper identification and communication.
- Enter the name of the athlete along with their jersey number. This information is essential for tracking and managing the athlete's participation.
- Complete the physician's details by typing in their name, ensuring to indicate whether they are an M.D. or D.O., and provide the practice name and address.
- Input the physician's telephone number for any follow-up questions or clarifications regarding the athlete's eligibility.
- Indicate which extremity (left or right) is involved in the injury to provide specificity regarding the treatment.
- Describe the nature of the injury in detail. Be clear about the condition that necessitates the protective device.
- Specify the dates from which the athlete is permitted to engage in practices and games while wearing the hard form substance protective device. Be precise with the beginning date.
- Ensure the physician signs the form and includes the date of completion. This signature verifies the authenticity of the document.
- Review the form for accuracy, save any changes made, and consider downloading or printing the completed document for distribution.
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