Blank Fhsaa El 2 PDF Template
Ensuring the wellbeing of student-athletes is a priority that schools across the nation take seriously, and Florida is no exception. The Florida High School Athletic Association (FHSAA) has established a comprehensive process to safeguard students' health before they participate in sports, embodied in the FHSAA EL2 form. This Preparticipation Physical Evaluation form consists of three pages, each serving a unique function in assessing the health and fitness of a student to partake in athletic activities. The initial segment captures detailed student information, ranging from personal identification to medical history, requiring responses to queries about past illnesses, surgeries, and any substances that might affect sports performance. This is followed by a rigorous physical examination conducted by a qualified healthcare professional, which includes an assessment of vital signs, musculoskeletal integrity, and overall physical condition. Notably, the form underscores the importance of cardiovascular evaluation, advising on additional tests like EKGs or stress tests to preemptively identify risks. Valid for 365 days from the evaluation date, the document emphasizes its non-transferability; a change in schools necessitates a new submission of the form, highlighting the tailored approach to each student's health. The meticulous design of the FHSAA EL2 form reflects a dedicated effort to ensure student-athletes are physically prepared and medically cleared, underpinning the broader commitment to student safety in sports across Florida.
Preview - Fhsaa El 2 Form
EL2
Florida High School Athletic Association
Preparticipation Physical Evaluation (Page 1 of 3)
REVISED 03/16
This completed form must be kept on ile by the school. This form is valid for 365 calendar days from the date of the evaluation as written on page 2.
This form is
Part 1. Student Information (to be completed by student or parent)
Student’s Name: ________________________________________________________________________ Sex: _____ Age: _____ Date of Birth: _____/ _____/ _____
School: ____________________________________________________ Grade in School: _____ Sport(s): ________________________________________________
Home Address: _______________________________________________________________________________________ Home Phone: ( _____) _______________
Name of Parent/Guardian: _______________________________________________________________
Person to Contact in Case of Emergency: _____________________________________________________________________________________________________
Relationship to Student: _______________________ Home Phone: ( _____) ______________ Work Phone: ( _____) _____________ Cell Phone: ( _____) _____________
Personal/Family Physician: ___________________________________________City/State: ___________________________ Ofice Phone: ( _____) _____________
Part 2. Medical History (to be completed by student or parent). Explain “yes” answers below. Circle questions you don’t know answers to.
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Yes |
No |
1. |
Have you had a medical illness or injury since your last |
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check up or sports physical? |
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2. |
Do you have an ongoing chronic illness? |
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____ |
3. |
Have you ever been hospitalized overnight? |
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____ |
4. |
Have you ever had surgery? |
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5. |
Are you currently taking any prescription or non- |
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prescription |
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using an inhaler? |
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6. |
Have you ever taken any supplements or vitamins to |
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help you gain or lose weight or improve your |
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performance? |
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7. |
Do you have any allergies (for example, pollen, latex, |
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medicine, food or stinging insects)? |
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8. |
Have you ever had a rash or hives develop during or |
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after exercise? |
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9. |
Have you ever passed out during or after exercise? |
____ |
____ |
10. |
Have you ever been dizzy during or after exercise? |
____ |
____ |
11. |
Have you ever had chest pain during or after exercise? |
____ |
____ |
12. |
Do you get tired more quickly than your friends do |
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during exercise? |
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13. |
Have you ever had racing of your heart or skipped |
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heartbeats? |
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14. |
Have you had high blood pressure or high cholesterol? |
____ |
____ |
15. |
Have you ever been told you have a heart murmur? |
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____ |
16. |
Has any family member or relative died of heart |
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____ |
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problems or sudden death before age 50? |
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17. |
Have you had a severe viral infection (for example, |
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____ |
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myocarditis or mononucleosis) within the last month? |
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18. |
Has a physician ever denied or restricted your |
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participation in sports for any heart problems? |
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19. |
Do you have any current skin problems (for example, |
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____ |
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itching, rashes, acne, warts, fungus, blisters or pressure sores)? |
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20. |
Have you ever had a head injury or concussion? |
____ |
____ |
21. |
Have you ever been knocked out, become unconscious |
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____ |
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or lost your memory? |
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22. |
Have you ever had a seizure? |
____ |
____ |
23. |
Do you have frequent or severe headaches? |
____ |
____ |
24. |
Have you ever had numbness or tingling in your arms, |
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____ |
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hands, legs or feet? |
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25. Have you ever had a stinger, burner or pinched nerve? |
____ |
____ |
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Yes |
No |
26. |
Have you ever become ill from exercising in the heat? |
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____ |
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27. |
Do you cough, wheeze or have trouble breathing during or after |
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____ |
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activity? |
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28. |
Do you have asthma? |
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____ |
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29. |
Do you have seasonal allergies that require medical treatment? |
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____ |
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30. |
Do you use any special protective or corrective equipment or |
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____ |
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medical devices that aren’t usually used for your sport or position |
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(for example, knee brace, special neck roll, foot orthotics, shunt, |
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retainer on your teeth or hearing aid)? |
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31. |
Have you had any problems with your eyes or vision? |
____ |
____ |
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32. |
Do you wear glasses, contacts or protective eyewear? |
____ |
____ |
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33. |
Have you ever had a sprain, strain or swelling after injury? |
____ |
____ |
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34. |
Have you broken or fractured any bones or dislocated any joints? |
____ |
____ |
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35. |
Have you had any other problems with pain or swelling in muscles, |
____ |
____ |
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tendons, bones or joints? |
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If yes, check appropriate blank and explain below: |
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___ Head |
___ Elbow |
___ Hip |
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___ Neck |
___ Forearm |
___ Thigh |
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___ Back |
___ Wrist |
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___ Knee |
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___ Chest |
___ Hand |
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___ Shin/Calf |
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___ Shoulder |
___ Finger |
___ Ankle |
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___ Upper Arm |
___ Foot |
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36. |
Do you want to weigh more or less than you do now? |
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____ |
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37. |
Do you lose weight regularly to meet weight requirements for your |
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____ |
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sport? |
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38. |
Do you feel stressed out? |
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____ |
____ |
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39. |
Have you ever been diagnosed with sickle cell anemia? |
____ |
____ |
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40. |
Have you ever been diagnosed with having the sickle cell trait? |
____ |
____ |
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41. |
Record the dates of your most recent immunizations (shots) for: |
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Tetanus: _______________ |
Measles: _______________ |
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Hepatitus B: ____________ |
Chickenpox: ____________ |
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FEMALES ONLY (optional)
42.When was your irst menstrual period? _______________________
43.When was your most recent menstrual period? _________________
44.How much time do you usually have from the start of one period to the start of another?_______________________________________
45.How many periods have you had in the last year? _______________
46.What was the longest time between periods in the last year? ________
Explain “Yes” answers here:_______________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
We hereby state, to the best of our knowledge, that our answers to the above questions are complete and correct. In addition to the routine medical evaluation required by s.1006.20, Florida Statutes, and FHSAA Bylaw 9.7, we understand and acknowledge that we are hereby advised that the student should undergo a cardiovascular assessment, which may include such diagnostic tests as electrocardiogram (EKG), echocardiogram (ECG) and/or cardio stress test.
Signature of Student: _____________________________________ Date: ____/ ____/ ____ Signature of Parent/Guardian: __________________________________ Date: ____/ ____/ ____
– 1 –
EL2
Florida High School Athletic Association
Preparticipation Physical Evaluation (Page 2 of 3)
REVISED 03/16
This completed form must be kept on ile by the school. This form is valid for 365 calendar days from the date of the evaluation as written on page 2.
This form is
Part 3. Physical Examination (to be completed by licensed physician, licensed osteopathic physician, licensed chiropractic physi- cian, licensed physician assistant or certiied advanced registered nurse practitioner).
Student’s Name: _____________________________________________________________________________________________ Date of Birth: _____/_____/_____
Height: _____________ Weight: _____________ % Body Fat (optional): ____________ Pulse: _________ Blood Pressure: ____ / ____ ( ____/____ , ____ /____ )
Temperature: _____________ Hearing: right: P ______ F _____ left: P _____ F _____ |
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Visual Acuity: Right 20/_______ |
Left 20/_______ |
Corrected: Yes |
No |
Pupils: Equal _________ Unequal _________ |
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FINDINGS |
NORMAL |
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ABNORMAL FINDINGS |
INITIALS* |
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MEDICAL |
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1. |
Appearance |
________ |
________________________________________________________________________ |
____________ |
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2. |
Eyes/Ears/Nose/Throat |
________ |
________________________________________________________________________ |
____________ |
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3. |
Lymph Nodes |
________ |
________________________________________________________________________ |
____________ |
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4. |
Heart |
________ |
________________________________________________________________________ |
____________ |
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5. |
Pulses |
________ |
________________________________________________________________________ |
____________ |
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6. |
Lungs |
________ |
________________________________________________________________________ |
____________ |
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7. |
Abdomen |
________ |
________________________________________________________________________ |
____________ |
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8. |
Genitalia (males only) |
________ |
________________________________________________________________________ |
____________ |
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9. |
Skin |
________ |
________________________________________________________________________ |
____________ |
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MUSCULOSKELETAL |
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10. |
Neck |
________ |
________________________________________________________________________ |
____________ |
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11. |
Back |
________ |
________________________________________________________________________ |
____________ |
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12. |
Shoulder/Arm |
________ |
________________________________________________________________________ |
____________ |
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13. |
Elbow/Forearm |
________ |
________________________________________________________________________ |
____________ |
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14. |
Wrist/Hand |
________ |
________________________________________________________________________ |
____________ |
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15. |
Hip/Thigh |
________ |
________________________________________________________________________ |
____________ |
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16. |
Knee |
________ |
________________________________________________________________________ |
____________ |
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17. |
Leg/Ankle |
________ |
________________________________________________________________________ |
____________ |
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18. |
Foot |
________ |
________________________________________________________________________ |
____________ |
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* –
ASSESSMENT OF EXAMINING PHYSICIAN/PHYSICIAN ASSISTANT/NURSE PRACTITIONER
I hereby certify that each examination listed above was performed by myself or an individual under my direct supervision with the following conclusion(s):
____ Cleared without limitation
____ Disability: _____________________________________________________ Diagnosis: ___________________________________________________________
_______________________________________________________________________________________________________________________________________
____ Precautions: ________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
____ Not cleared for: __________________________________________________________________________ Reason: ___________________________________
_______________________________________________________________________________________________________________________________________
____ Cleared after completing evaluation/rehabilitation for: ______________________________________________________________________________________
____ Referred to ______________________________________________________________________________ For: ______________________________________
_______________________________________________________________________________________________________________________________________
Recommendations: _______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
Name of Physician/Physician Assistant/Nurse Practitioner (print): __________________________________________________________ Date: _____/_____/_______
Address: _______________________________________________________________________________________________________________________________
Signature of Physician/Physician Assistant/Nurse Practitioner: ____________________________________________________________________________________
– 2 –
EL2
Florida High School Athletic Association
Preparticipation Physical Evaluation (Page 3 of 3)
REVISED 03/16
This completed form must be kept on ile by the school. This form is valid for 365 calendar days from the date of the evaluation as written on page 2.
This form is
Student’s Name: _____________________________________________________________________________________________
ASSESSMENT OF PHYSICIAN TO WHOM REFERRED (if applicable)
I hereby certify that the examination(s) for which referred was/were performed by myself or an individual under my direct supervision with the following conclusion(s):
____ Cleared without limitation
____ Disability: _____________________________________________________ Diagnosis: ___________________________________________________________
_______________________________________________________________________________________________________________________________________
____ Precautions: ________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
____ Not cleared for: __________________________________________________________________________ Reason: ___________________________________
____ Cleared after completing evaluation/rehabilitation for: ______________________________________________________________________________________
Recommendations: _______________________________________________________________________________________________________________________
Name of Physician (print): ___________________________________________________________________________________________ Date: ____/____/_______
Address: _______________________________________________________________________________________________________________________________
Signature of Physician: ___________________________________________________________________________________________________________________
Based on recommendations developed by the American Academy of Family Physicians, American Academy of Pediatrics, American Medical Society for Sports Medicine, American Orthopae- dic Society for Sports Medicine and American Osteopathic Academy for Sports Medicine.
– 3 –
Form Data
| Fact Name | Detail |
|---|---|
| Form Title | FHSAA EL2 Preparticipation Physical Evaluation |
| Last Revision Date | March 2016 |
| Form Validity Period | 365 calendar days from the date of evaluation |
| Form Transferability | Non-transferable; requires resubmission upon change of school |
| Required Participant Information | Student’s personal details, medical history, and contact information |
| Governing Law | Section 1006.20, Florida Statutes, and FHSAA Bylaw 9.7 |
| Cardiovascular Assessment Advisory | Advises the completion of cardiovascular assessments such as EKG, ECG, or cardio stress test |
| Submission Requirement | Page 1 must be resubmitted if the student changes schools during the validity period |
Instructions on Utilizing Fhsaa El 2
Filling out the FHSAA EL2 form is an essential step for high school athletes in Florida to participate in sports activities. This three-page document ensures the health and safety of student-athletes through a thorough preparticipation physical evaluation. Completing this form accurately is crucial for the eligibility and well-being of the athlete. The process involves providing detailed student information, a comprehensive medical history, and undergoing a physical examination by a qualified healthcare professional. Let's break down the steps needed to complete this form correctly.
- Begin with Part 1: Student Information. This section requires basic details about the student, including their full name, sex, age, date of birth, school they are attending, current grade, sports they plan to participate in, home address, and contact information. This portion is usually filled out by the student or the parent/guardian.
- Continue to Part 2: Medical History. Here, answer a series of yes/no questions about the student's medical history. It's imperative to provide comprehensive responses and explain any "Yes" answers in the space provided at the end of this section. This part helps in identifying any potential risk factors that could affect the student's participation in sports.
- After completing the medical history, ensure that both the student and the parent or guardian sign and date the form at the bottom of page 1. This step is vital as it confirms the accuracy of the information provided and acknowledges the recommendation for a cardiovascular assessment.
- Part 3: Physical Examination must be completed by a licensed healthcare professional. This section of the form will be filled out during the student's physical examination. The examiner will assess various health aspects, including appearance, eyes/ears/nose/throat, lymph nodes, heart, lungs, abdomen, and musculoskeletal system, among others.
- The healthcare professional conducting the examination will conclude whether the student is cleared without limitations, cleared with precautions, or not cleared for participation in sports. Any specific diagnoses, disabilities, precautions, or recommendations should be detailed in the provided space.
- Finally, the examining healthcare professional must provide their name, address, and signature, along with the date of examination at the bottom of page 2. If the student is referred to another physician, the assessment and recommendations from that physician should be documented on page 3 of the form.
After completing all sections of the FHSAA EL2 form, ensure that all pages are submitted to the student's school, where they must be kept on file. Remember, this form is valid for 365 calendar days from the date of the evaluation, and it is non-transferable; a change of schools during its validity requires re-submission of page 1. Diligently following these steps will help ensure that student-athletes are ready and safe to participate in their chosen sports activities.
Obtain Answers on Fhsaa El 2
Frequently Asked Questions about the FHSAA EL2 Form
- What is the FHSAA EL2 Form?
The FHSAA EL2 form, or the Florida High School Athletic Association Preparticipation Physical Evaluation, is a document used to evaluate the health and fitness of students before they participate in high school sports. It includes sections for personal information, medical history, and results from a physical examination conducted by a licensed medical professional. The form ensures that students are physically capable of joining sports activities, minimizing the risk of sports-related injuries.
- How long is the FHSAA EL2 Form valid?
The FHSAA EL2 form is valid for 365 calendar days from the date of the evaluation, as noted on page 2 of the form. This means that once completed, the form will cover participation for any sports within a one-year timeframe. However, if a student changes schools within that year, page 1 of the form, which includes student information, must be resubmitted to the new school.
- Who needs to complete the FHSAA EL2 Form?
- Students participating in Florida high school sports activities.
- Parents or guardians of the student athlete, who must fill out the student information and medical history sections.
- Medical professionals including licensed physicians, osteopathic physicians, chiropractic physicians, physician assistants, or certified advanced registered nurse practitioners, who are responsible for completing the physical examination section.
- What sections are included in the EL2 Form, and who is responsible for each?
The FHSAA EL2 Form is divided into three main sections:
- Student Information - Completed by the student or parent/guardian, providing essential details about the student and contact information.
- Medical History - Also completed by the student or parent/guardian, this section includes a comprehensive list of questions designed to identify any conditions or issues that might affect the student’s ability to safely participate in sports.
- Physical Examination - Completed by a licensed medical professional, this part documents the findings of the physical exam, including assessments of the student’s overall health, musculoskeletal condition, and any potential medical concerns that need to be addressed.
Common mistakes
When filling out the FHSAA EL2 Form, important for Florida high school athletes, several common mistakes can complicate the process:
- Not completing the student information section thoroughly. Every detail, from the student's name to their grade in school, is crucial for identification purposes.
- Skipping the medical history questions. These queries are designed to protect the athlete by identifying any potential health risks. Answering "yes" or "no" and providing explanations for "yes" answers is mandatory.
- Forgetting to circle questions if the answer is unknown. This is a unique feature of the form meant to ensure no information is inadvertently overlooked.
- Leaving the emergency contact details blank. Providing accurate contact information is essential in case of an emergency during an athletic event or practice.
- Omitting the signature and date at the bottom of Page 1. The form is not valid without the athlete and guardian's acknowledgment of the information provided.
- Failing to consider the validity period of the form. It's valid for 365 calendar days from the evaluation date, and a change in schools requires resubmission of page 1.
Here are some additional, yet less common, errors:
- Not correctly identifying the student's sport(s), which can impact the relevance of the medical evaluation.
- Incorrect or missing information for personal/family physician contacts. This can delay or complicate follow-up in case further medical evaluation is necessary.
- Incompletely filling out the immunization dates. Although it may seem secondary, this information is a part of the student's health profile.
- Forgetting to check the appropriate box for issues related to musculoskeletal concerns, which are particularly relevant in sports participation.
- Missing the opportunity to disclose any use of supplements, which can affect the student's health and athletic performance.
By avoiding these mistakes and completing the form accurately and thoroughly, students and their guardians can ensure a smooth process in meeting the requirements for high school athletic participation in Florida.
Documents used along the form
The FHSAA EL2 Form, crucial for student-athlete participation in Florida, requires various forms and documents to support the comprehensive assessment of a student's eligibility and health status. These ancillary documents ensure a student's readiness to engage safely in school athletic programs. Understanding these documents helps streamline the process for students, parents, and school administrators.
- FHSAA EL3 Form – This form is a consent and release from liability certificate, which must be completed by the student and their parent or guardian. It covers acknowledgment of the risks associated with athletic participation and agreement to adhere to FHSAA policies.
- Proof of Insurance – Documentation that verifies the student has adequate health insurance coverage. Schools may require a copy of the insurance card or a letter from the insurance provider.
- Birth Certificate – A copy of the student's birth certificate is often required for age verification purposes to ensure eligibility for certain age groups or leagues.
- Academic Record – This includes report cards or transcripts to verify the student’s academic performance. FHSAA mandates that student-athletes meet specific academic criteria to participate.
- Residency Documentation – Documents proving the student’s residence may be needed to ensure they are eligible to represent their school based on geographic location. This can include utility bills or a lease agreement.
- Emergency Contact Information Form – A form detailing contact information for parents or guardians, as well as preferred medical providers, to be used in the event of an emergency.
- Concussion and Heat-Related Illness Information Form – A form that provides information to students and parents about the risks of concussions and heat-related illnesses, including prevention and symptoms. This typically requires a signature to acknowledge receipt and understanding of the information.
- Sickle Cell Trait Testing Documentation – Some schools require documentation of sickle cell trait testing. This genetic information can be important for managing a student-athlete's health in relation to strenuous exercise.
Together, these documents, along with the FHSAA EL2 Form, create a comprehensive profile that supports the health and safety of student-athletes in Florida. Ensuring these are accurately completed and maintained facilitates a smoother participation process for all involved, emphasizing the overarching goal of safeguarding student-athlete wellbeing.
Similar forms
Annual Physical Examination Forms: These are similar to the FHSAA EL2 form as they both collect comprehensive medical history and perform a physical examination to evaluate an individual’s fitness for specific activities, ensuring they are in good health to participate safely.
Pre-Employment Physical Forms: Just like the EL2 form, pre-employment physical forms are used to assess a person’s health and physical capabilities to ensure they are fit for the job role they are applying for, focusing on essential functions and any potential health risks.
Sports Consent Forms: These forms are used to obtain permission from parents or guardians for minors to participate in sports activities, similar to the EL2 form’s requirement for parental or guardian signatures to authorize participation in high school sports.
Medical Clearance Forms: Often required for surgeries or starting new physical activities, these are similar to the EL2 form in providing a medical evaluation that clears individuals to participate in an activity or procedure, ensuring it is safe for them to do so.
Immunization Records: Required for school enrollment and some travel, immunization records share a similarity with the EL2 form’s section for documenting recent immunizations, highlighting the importance of vaccinations in preventing communicable diseases in community settings.
Drug Screening Consent Forms: While focusing on substance testing, these forms share the EL2’s principle of ensuring safety and readiness of individuals for participation in activities, in this case, employment, by verifying the absence of prohibited substances.
Emergency Contact Information Forms: These forms collect contact information and medical details to be used in case of an emergency, similar to parts of the EL2 form that require emergency contacts and relevant medical history for safe participation in sports.
Health Insurance Verification Forms: Similar to the EL2 form’s function of ensuring participants are medically evaluated, these forms verify an individual's health insurance coverage, ensuring they have financial protection for medical services related to the activity.
Dos and Don'ts
When filling out the FHSAA EL2 form, it's important to follow some dos and don'ts to ensure the form is completed accurately and efficiently. Here are ten tips to guide you through this process:
- Do read all instructions carefully before starting to fill out the form.
- Do ensure that all the information provided is accurate and up-to-date, especially your contact details and medical history.
- Do complete the student information section fully, including the student's name, date of birth, grade, sports participating in, and contact information.
- Do answer all the medical history questions truthfully. If you answer "yes" to any questions, provide a clear and concise explanation in the space provided.
- Do circle any questions you do not know the answers to or need to research further before answering.
- Don't skip the signature section. Both the student and the parent/guardian must sign and date the form to validate it.
- Don't forget to schedule an appointment with a qualified healthcare provider for the physical examination part and ensure they fill it out accurately.
- Don't leave any sections blank unless they specifically do not apply to you. If a section is not applicable, write "N/A" or "None" as appropriate.
- Don't use the form if it's older than 365 calendar days from the date of the evaluation as noted on page 2. The form must be current to be valid.
- Don't ignore the advice to undergo additional cardiovascular assessment if suggested in the form based on your answers to the medical history questions.
Remember, the EL2 form is essential for ensuring student athletes are physically and medically fit for participation in school sports activities. By following these dos and don'ts, you can help streamline the process for everyone involved.
Misconceptions
Only a doctor can complete the FHSAA EL2 Form: While it's true the physical examination must be carried out by a licensed medical professional, this group includes physicians, osteopathic physicians, chiropractic physicians, physician assistants, and certified advanced registered nurse practitioners. It's not restricted only to doctors.
The form is only for high school athletes: Although designed by the Florida High School Athletic Association, the form is also used for middle school athletes participating in sports that require a preparticipation physical evaluation.
Once completed, the form only needs to be filed with the school: While the school needs to retain a copy of the form, it's advisable for parents and guardians to keep a copy for their records. This ensures they have easy access to their child's medical evaluation information.
The form is valid indefinitely: The form is actually valid for 365 calendar days from the date of the evaluation noted on page 2. Keeping track of this date is crucial to ensuring the athlete’s eligibility to participate in sports.
Any pre-existing medical conditions disqualify the student-athlete: Not necessarily. The form includes a section for detailing any medical conditions, which a medical professional will review. Depending on the condition and the sport, many athletes can still participate with proper management and precautions.
The form does not need to be re-submitted if the student changes schools: This is incorrect. If a student changes schools during the period for which the form is valid, page 1 of the form must be re-submitted to the new school. This ensures the new school has accurate and up-to-date medical information.
All sections of the form must be filled out by the medical examiner: The form is divided into parts, with the first section typically filled out by the student or parent. This includes the student’s personal information and medical history. The medical examiner completes the physical examination part.
The form only screens for physical health issues: While the form primarily focuses on physical health, it also includes sections for reporting medications, supplements, allergies, and even questions related to mental and emotional health, which underscores the holistic approach to evaluating an athlete’s readiness for sports participation.
Key takeaways
Understanding and accurately completing the FHSAA EL2 Form, which is the Florida High School Athletic Association Preparticipation Physical Evaluation form, is essential for students wishing to participate in high school sports. Here are key takeaways to ensure this process is handled efficiently:
- The FHSAA EL2 Form is comprehensive, requiring details on student information, medical history, and a physical examination.
- This form must be filed with and kept by the school, serving as a record for 365 calendar days from the date of the evaluation.
- The form's validity is not transferable between schools; if a student changes schools within the 365-day period, page 1 of the form must be resubmitted at the new school.
- Student or parent completion is necessary for the first part of the form, which captures student information and medical history.
- Highlighting the importance of a thorough medical history, the form includes a detailed section that needs to be filled out carefully, with explanations for any "yes" answers.
- Medical clearance is conditional upon the results of the physical examination, which must be performed by a licensed physician, licensed osteopathic physician, licensed chiropractic physician, licensed physician assistant, or certified advanced registered nurse practitioner.
- Physicians are tasked with determining whether a student is cleared to participate without limitations, requires further evaluation or rehabilitation, or is not cleared for participation, including specifics on any limitations or precautions.
- In cases where students are referred for further assessment, a separate section for the assessing physician's notes and clearance decision is included.
- The form advises that aside from routine medical evaluations, students are recommended to undergo a cardiovascular assessment which may include diagnostic tests like an EKG, ECG, or cardio stress test.
- Failure to provide accurate and complete information might hinder a student's ability to participate in sports, emphasizing the importance of meticulous completion of the form.
In conclusion, the FHSAA EL2 Form plays a vital role in ensuring the health and safety of high school athletes in Florida. It facilitates a detailed review of the student's medical history and current physical condition, enabling informed decisions about their eligibility for sports participation. By adhering to the guidelines and providing thorough and accurate information, students, parents, and medical professionals contribute to a safe and fair athletic environment.
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Mc-040 - Detailed instructions on the assembly and submission of small claims filing packets, aiming to simplify the court’s administrative requirements for claimants.