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mshsaa pre-participation documentation – annual requirements INTERIM MEDICAL HISTORY Note: Complete and sign this form (with your parents if younger than 18).
- MSHSAA Preparticipation Physical Forms/Procedure
Preparticipation Physical Examination Form (PPE) (Step 2):...
- MSHSAA Preparticipation Physical Forms/Procedure
Preparticipation Physical Examination Form (PPE) (Step 2): Issued to Student/Parent(s)/Guardian, Taken to Healthcare Professional (MD/DO/ARNP/PA/DC), Retained by Healthcare Professional. Note: This PPE form is the recommended PPE form intended for guiding the healthcare professional (MD/DO/ARNP/PA/DC) with the
1. Collect the completed PPE forms with the appropriate signatures on pages 2 – 5. 2. Based on your school’s policy, determine who is responsible to review and disseminate the student’s medical information provided on the form.* 3. Complete the Shared Emergency Information section on the Medical Eligibility Form (page 4). 4.
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.
WEBSITE: www.mshsaa.org E-MAIL: email@mshsaa.org. Page 2 2024-25 MSHSAA OFFICIAL HANDBOOK MSHSAA HANDBOOK FORMAT: ... Kansas City 33 School District Kansas City District Term Expires July, 2026 MR. KEVIN SMITH, Superintendent Lincoln School District Central District Term Expires July, 2025
Missouri State High School Activities Association (MSHSAA) Forms and Brochures. The MSHSAA Pre-Participation Physical Evaluation Form is valid for two (2) years. To print the MSHSAA Physical Evaluation Form, please click here. *Please note that ONLY Page 5 is to be returned to the school.
The Medical Eligibility Form can be used independently to share with staff who may not need complete access to the private health information found on the PPE. The annual history and the physical examination shall not be taken earlier than May 1 preceding the school year for which it is
