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MSHSAA Medical Eligibility Form (Step 3): Issued to Student/Parent(s)/Guardian, Taken to/Completed by Healthcare. Professional (MD/DO/ARNP/PA/DC), Copy Retained by Healthcare Professional, Returned to School Administration.
Physical Card/Medical History Form. The most frequently requested and downloaded form is the Student-Athlete Physical Exam / Medical History Form. Sports Physicals: For the 2024-25 school year, an MHSAA pre-participation sports physical is required for all students who participate in sports.
mshsaa pre-participation documentation – annual requirements INTERIM MEDICAL HISTORY Note: Complete and sign this form (with your parents if younger than 18).
MSHSAA PRE-PARTICIPATION DOCUMENTATION – ANNUAL REQUIREMENTS PLEASE NOTE ALL PAGES MUST BE COMPLETED EACH SCHOOL YEAR. THE PRE-PARTICIPATION PHYSICAL EXAM IS VALID FOR 2 YEARS FROM DATE OF EXAM. (UNLESS OTHERWISE NOTED BY PHYSICIAN.) MEDICAL HISTORY Note: Complete and sign this form (with your parents if younger than 18) before your appointment.
Michigan High School Athletic Association. 1661 Ramblewood Drive, East Lansing, MI 48823. Office 517-332-5046. Fax 517-332-4071. info@mhsaa.com.
STUDENT PARTICIPATION & PARENT or GUARDIAN or 18-YEAR-OLD CONSENT The information submitted herein is truthful to the best of my knowledge. By my/my child’s signature below, I/we acknowledge that I/we have received concussion educational information that meets Michigan Department of Health and Human Services and MHSAA requirements.
Note: Complete and sign this form (with your parents if younger than 18) before your appointment. The physician should keep a copy of this form in the chart for their records. Note: An injury or medical condition results in a separate medical release.
