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Fill Out Your Fhsaa El 2 Form

The FHSAA EL2 form is a vital document required by the Florida High School Athletic Association for student athletes to undergo physical evaluations before participating in sports. This form serves to collect essential medical history and fitness information about the student, ensuring that they are physically prepared and safe to engage in athletic activities. To comply with school regulations and prioritize student health, complete the FHSAA EL2 form by clicking the button below.

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Article Structure

The FHSAA EL2 form plays a crucial role in ensuring that student-athletes are physically prepared and healthy enough to participate in high school sports across Florida. This comprehensive document is designed to gather essential information about a student’s health history, current physical condition, and any medical evaluations performed by licensed healthcare professionals. It is broken down into several key sections, beginning with student information, where details about the athlete, their contact information, and the sports they intend to participate in are collected. The form also includes a thorough medical history questionnaire, prompting students or their parents to disclose any past injuries, chronic illnesses, or issues that might affect athletic performance. Following this, licensed medical practitioners conduct a physical examination to assess overall health, including evaluating vital signs, vision, and musculoskeletal function. It’s important to note that the EL2 form must be completed and submitted annually, remaining valid for one year from the date of the evaluation, and cannot be transferred between schools. This results-driven approach not only safeguards student-athletes but also emphasizes the need for proactive health management in sports settings.

Fhsaa El 2 Example

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 non-transferable; a change of schools during the validity period of this form will require page 1 of this form to be re-submitted.

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: _______________________________________________________________ E-mail: ___________________________________________

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.

		Yes	No
1.	Have you had a medical illness or injury since your last	____	____
	check up or sports physical?
2.	Do you have an ongoing chronic illness?	____	____
3.	Have you ever been hospitalized overnight?	____	____
4.	Have you ever had surgery?	____	____
5.	Are you currently taking any prescription or non-	____	____
	prescription (over-the-counter) medications or pills or
	using an inhaler?
6.	Have you ever taken any supplements or vitamins to	____	____
	help you gain or lose weight or improve your
	performance?
7.	Do you have any allergies (for example, pollen, latex,	____	____
	medicine, food or stinging insects)?
8.	Have you ever had a rash or hives develop during or	____	____
	after exercise?
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	____	____
	during exercise?
13.	Have you ever had racing of your heart or skipped	____	____
	heartbeats?
14.	Have you had high blood pressure or high cholesterol?	____	____
15.	Have you ever been told you have a heart murmur?	____	____
16.	Has any family member or relative died of heart	____	____
	problems or sudden death before age 50?
17.	Have you had a severe viral infection (for example,	____	____
	myocarditis or mononucleosis) within the last month?
18.	Has a physician ever denied or restricted your	____	____
	participation in sports for any heart problems?
19.	Do you have any current skin problems (for example,	____	____
	itching, rashes, acne, warts, fungus, blisters or pressure sores)?
20.	Have you ever had a head injury or concussion?	____	____
21.	Have you ever been knocked out, become unconscious	____	____
	or lost your memory?
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,	____	____
	hands, legs or feet?
25. Have you ever had a stinger, burner or pinched nerve?		____	____

					Yes	No
26.	Have you ever become ill from exercising in the heat?				____	____
27.	Do you cough, wheeze or have trouble breathing during or after				____	____
	activity?
28.	Do you have asthma?				____	____
29.	Do you have seasonal allergies that require medical treatment?				____	____
30.	Do you use any special protective or corrective equipment or				____	____
	medical devices that aren’t usually used for your sport or position
	(for example, knee brace, special neck roll, foot orthotics, shunt,
	retainer on your teeth or hearing aid)?
31.	Have you had any problems with your eyes or vision?				____	____
32.	Do you wear glasses, contacts or protective eyewear?				____	____
33.	Have you ever had a sprain, strain or swelling after injury?				____	____
34.	Have you broken or fractured any bones or dislocated any joints?				____	____
35.	Have you had any other problems with pain or swelling in muscles,				____	____
	tendons, bones or joints?
	If yes, check appropriate blank and explain below:
	___ Head	___ Elbow		___ Hip
	___ Neck	___ Forearm		___ Thigh
	___ Back	___ Wrist		___ Knee
	___ Chest	___ Hand		___ Shin/Calf
	___ Shoulder	___ Finger		___ Ankle
	___ Upper Arm	___ Foot
36.	Do you want to weigh more or less than you do now?				____	____
37.	Do you lose weight regularly to meet weight requirements for your				____	____
	sport?
38.	Do you feel stressed out?				____	____
39.	Have you ever been diagnosed with sickle cell anemia?				____	____
40.	Have you ever been diagnosed with having the sickle cell trait?				____	____
41.	Record the dates of your most recent immunizations (shots) for:
	Tetanus: _______________		Measles: _______________
	Hepatitus B: ____________		Chickenpox: ____________

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 non-transferable; a change of schools during the validity period of this form will require page 1 of this form to be re-submitted.

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 _____
Visual Acuity: Right 20/_______		Left 20/_______	Corrected: Yes	No	Pupils: Equal _________ Unequal _________
FINDINGS		NORMAL			ABNORMAL FINDINGS	INITIALS*
MEDICAL
1.	Appearance	________	________________________________________________________________________			____________
2.	Eyes/Ears/Nose/Throat	________	________________________________________________________________________			____________
3.	Lymph Nodes	________	________________________________________________________________________			____________
4.	Heart	________	________________________________________________________________________			____________
5.	Pulses	________	________________________________________________________________________			____________
6.	Lungs	________	________________________________________________________________________			____________
7.	Abdomen	________	________________________________________________________________________			____________
8.	Genitalia (males only)	________	________________________________________________________________________			____________
9.	Skin	________	________________________________________________________________________			____________
MUSCULOSKELETAL
10.	Neck	________	________________________________________________________________________			____________
11.	Back	________	________________________________________________________________________			____________
12.	Shoulder/Arm	________	________________________________________________________________________			____________
13.	Elbow/Forearm	________	________________________________________________________________________			____________
14.	Wrist/Hand	________	________________________________________________________________________			____________
15.	Hip/Thigh	________	________________________________________________________________________			____________
16.	Knee	________	________________________________________________________________________			____________
17.	Leg/Ankle	________	________________________________________________________________________			____________
18.	Foot	________	________________________________________________________________________			____________

* – station-based examination only

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 non-transferable; a change of schools during the validity period of this form will require page 1 of this form to be re-submitted.

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 –

Get Fhsaa El 2 PDF Form

Form Characteristics

Fact Name	Details
Form Purpose	The EL2 form is intended to evaluate a student's fitness to participate in sports and to gather relevant health information from parents or guardians.
Validity Period	This form is valid for 365 calendar days from the date of the evaluation, as stated on page 2.
Non-Transferable	If a student changes schools during the validity period, the form must be re-submitted, meaning it is non-transferable between institutions.
Mandatory Information	Key details required include the student’s name, date of birth, and contact information for parents or guardians.
Medical History Disclosure	Parents or students must provide a comprehensive medical history, including any chronic illnesses, surgeries, or medications taken.
Physician Signature	The form requires a licensed physician’s evaluation and signature as part of the physical examination section, confirming the student’s fitness for sports.
Regulatory Framework	The form is governed by s.1006.20 of the Florida Statutes and by FHSAA Bylaw 9.7, which mandate safe participation in sports.
Additional Recommendations	Parents and students are advised to consider cardiovascular assessments, which may include tests like EKG or echocardiogram.

Guidelines on Utilizing Fhsaa El 2

Completing the FHSAA EL2 form is an essential step for student athletes to participate in sports. This form must be carefully filled out and submitted to the relevant school authorities. Follow the outlined steps to ensure the form is completed accurately and promptly.

Begin by filling in the Student Information

Write the student's name in the designated space.

Indicate the student's sex, age, and date of birth.

Provide the name of the school and the student’s grade.

List the sport(s) the student will participate in this season.

Fill in the home address and home phone number.

Complete the name and email address of the parent or guardian.

Designate a person to contact in case of an emergency and provide their relationship to the student along with their phone numbers.

Fill in the personal or family physician's name and contact details.

Next, complete the Medical History section:

Answer each medical question by circling "Yes" or "No."

If any question was answered with "Yes," explain the circumstances in the space provided.

Circle any questions that you do not know the answer to.

For female students, complete the optional menstrual history questions if applicable.

Proceed to the Physical Examination section:

This section needs to be completed by a licensed physician, physician assistant, or nurse practitioner.

Ensure the physician fills in all necessary details such as height, weight, blood pressure, and pulse.

The physician must evaluate various aspects of the student's health and indicate if there are any abnormal findings.

Obtain the physician's signature, date, and contact information to validate the evaluation.

Finally, review the entire form:

Check all entries for completeness and accuracy.

Ensure signatures from both the student and the parent/guardian are present.

Submit the form to the appropriate school authority.

Diligently completing and submitting the FHSAA EL2 form is crucial for participation in athletics. After submission, keep a copy for your records and make sure the school maintains the completed form in their files as required. Be aware that this form is valid for 365 days and should be renewed if there’s a change in schools or if the validity period expires.

What You Should Know About This Form

What is the EL2 form?

The EL2 form is the Florida High School Athletic Association's Preparticipation Physical Evaluation. This form is required for student athletes to assess their medical readiness to participate in sports. Completing this form ensures that the student's health status is reviewed periodically, promoting safe participation in athletic activities.

Who is responsible for completing the EL2 form?

Both the student and their parent or guardian must complete the EL2 form. The student or parent fills out the student information and medical history sections. A licensed healthcare provider must complete the physical examination section. This collaborative effort helps ensure that all necessary health information is collected.

How long is the EL2 form valid?

The EL2 form is valid for one year, specifically 365 calendar days from the date of the physical evaluation noted on the second page of the form. After this period, a new evaluation must be completed and submitted to maintain eligibility for sports participation.

What should I do if my child changes schools?

If a student changes schools during the validity period of the EL2 form, page one must be resubmitted at the new school. This requirement ensures that the new school has the most current health information about the student to support their participation in athletics.

What kind of medical history information is required?

The form requires detailed medical history, including any medical illnesses or injuries since the last check-up, current medications, allergies, and previous surgeries. It also asks about specific symptoms during physical activity, such as dizziness or chest pain. Clear answers will help the evaluating physician assess the athlete's fitness for sports.

Is there a specific healthcare professional who can complete the physical examination?

The physical examination must be completed by a licensed physician, licensed osteopathic physician, licensed chiropractic physician, licensed physician assistant, or certified advanced registered nurse practitioner. This ensures that the evaluation meets professional medical standards.

What happens if the student has a pre-existing medical condition?

If the student has a pre-existing medical condition, it must be fully disclosed on the EL2 form. The examining physician will assess the condition and determine whether the student can participate in sports. Recommendations or restrictions may be provided based on the individual’s health status.

Are there any special considerations for female athletes?

Yes, the EL2 form includes optional sections specifically for female athletes regarding menstrual history. This information can be relevant to their overall health and athletic performance. However, completion of these sections is not mandatory.

Where should the completed EL2 form be submitted?

The completed EL2 form should be submitted to the student's school. It must be kept on file by the school administration to ensure that all student athletes meet health and safety requirements before participating in sports.

What should I do if I have more questions about the EL2 form?

If you have more questions about the EL2 form, reach out to your child's school athletic department. They can provide specific guidance, address any concerns, and assist with the evaluation process related to the form.

Common mistakes

When filling out the FHSAA EL 2 form, many individuals unintentionally make mistakes that can lead to complications later on. One common error is failing to provide complete and accurate student information. This section is crucial and must include the student's name, date of birth, and emergency contact details. Inaccuracies or omissions can create significant issues, particularly in emergencies. Ensuring all required fields are filled in correctly helps to avoid setbacks.

Another mistake often seen is not thoroughly reviewing the medical history section. Questions regarding medical conditions, past injuries, and medications need to be answered honestly and in detail. Many skip over sections or provide vague responses, which can hinder the student athlete's eligibility. It is vital to understand that this information is crucial for the safety and well-being of the student during sports participation.

People also commonly overlook the necessity of having a licensed professional complete the physical examination portion. This part of the form must be filled out by a doctor, physician assistant, or nurse practitioner. If this section is left incomplete or signed by someone who is not authorized, delays might occur in the student’s ability to participate in their sport. Therefore, it is important to ensure this step is properly completed by a qualified individual.

Lastly, individuals sometimes make the mistake of not keeping a copy of the form for their records. While the school is required to keep the completed form on file, having a personal copy can prove beneficial. It helps ensure all details are accurate and allows parents or guardians to keep track of any necessary follow-ups, such as additional medical evaluations or changes in the student's health status. Remembering this step can prevent confusion in the future.

Documents used along the form

The FHSAA EL 2 form is an important document for high school athletes undergoing a physical evaluation. Alongside it, several other forms and documents help ensure the athlete's safety and eligibility for participation in sports. Here are five commonly used forms that complement the FHSAA EL 2 form.

FHSAA EL 3 Form: This form addresses consent for treatment and emergency medical care. It must be signed by the parent or guardian, allowing medical professionals to provide care in case of an emergency.

FHSAA EL 5 Form: This is the sports participation consent form. It includes permission from the parent or guardian for the student-athlete to participate in school sports. It outlines the risks involved in athletic participation.

Immunization Records: This document provides proof of the student-athlete's vaccinations. It is essential for verifying that they are up to date on required immunizations, which can protect the health of all students.

FHSAA EL 6 Form: This form is used for concussions. If a student-athlete has experienced a concussion, this document helps evaluate their recovery and readiness to return to participation.

Medical Release Form: This form authorizes a licensed medical professional to release medical information relevant to the student-athlete's participation in sports, coordinating care between the athlete and the school’s athletic department.

Having the right forms in place is crucial for keeping student-athletes safe while participating in sports. Each document plays a specific role in ensuring that athletes are healthy, informed, and ready to compete.

Similar forms

FHSAA EL3 Form: Similar to the EL2, the EL3 form is another preparticipation physical evaluation document required by the Florida High School Athletic Association. It provides a comprehensive medical history and assessment, but is used for students transferring schools or who underwent a physical examination outside Florida.

FHSAA EL4 Form: This form pertains to parental consent and acknowledgment. Like the EL2, it must be completed to ensure that guardians understand the risks involved in athletic participation and give permission for their children to compete.

Sports Physical Form: This generic document collects student athletes' medical histories and physical examination findings. It serves a purpose similar to the EL2, verifying student health eligibility for sports while emphasizing the need for routine check-ups.

Emergency Contact Form: Similar in function to the EL2, this form gathers vital contact details for emergencies. While EL2 focuses on health, this document ensures quick communication in a crisis, highlighting the importance of safety in sports.

Immunization Records: These documents track vaccinations and are often required alongside the EL2 form. Both ensure that participating students are up to date with health requirements that minimize risks during athletic activities.

Liability Waiver: This document is used to release schools from future claims related to athletic participation. Like the EL2, it emphasizes the understanding of risks involved in sports, defining the responsibilities of both students and guardians.

Dos and Don'ts

When filling out the FHSAA EL-2 form, it’s essential to follow specific guidelines to ensure that all necessary information is correctly provided. Here’s a helpful list of what to do and what to avoid.

Do fill in all required sections completely, including student’s name and date of birth.

Do answer all medical history questions truthfully.

Do ensure the form is signed by both the student and a parent or guardian.

Do submit the form to the school before the athlete participates in any sports.

Do keep a copy of the completed form for your records.

Don’t leave any questions blank; if you don’t know an answer, indicate that clearly.

Don’t provide inaccurate or misleading information about medical conditions.

Don’t submit the form after the expiration date; re-evaluate if needed.

Don’t submit the form if any sections require more information or clarifications that are not addressed.

Don’t assume the form is general; each sport may have unique requirements, so check with the school.

Misconceptions

Misconceptions often surround the FHSAA EL 2 form, a crucial document for student-athletes in Florida. Understanding the facts can help clarify its purpose and requirements.

Misconception 1: The EL 2 form is only needed once in a student's athletic career.

This is incorrect. The FHSAA EL 2 form must be completed annually. Its validity lasts for only 365 days from the date of the physical evaluation, necessitating a new form each year.

Misconception 2: The form can be transferred between schools.

This is a misunderstanding. The form is non-transferable, meaning if a student changes schools during the validity period, page 1 must be re-submitted to the new institution.

Misconception 3: Only one parent or guardian needs to sign the form.

In fact, both the student and at least one parent or guardian must sign the form. This ensures that the information provided is verified by an adult responsible for the student’s health.

Misconception 4: The physical examination can be conducted by any healthcare worker.

This is not true. The physical examination must be completed by a licensed physician, osteopathic physician, chiropractic physician, physician assistant, or certified advanced registered nurse practitioner to ensure proper medical evaluation.

Misconception 5: The medical history section is optional.

This is misleading. The medical history section is essential for identifying any potential health risks. Parents or students must complete this section thoroughly to ensure accurate health assessment.

Key takeaways

Filling out the FHSAA EL2 form requires careful attention to detail. It is crucial to provide accurate information that reflects the student’s health status.

Validity Period: The completed form is valid for 365 days from the evaluation date. This timeframe is important for ensuring the student’s ongoing eligibility to participate in sports.

Non-Transferability: If a student changes schools during the validity period, they must re-submit page 1 of this form to the new school.

Parent and Student Responsibilities: Both the student and the parent or guardian must complete the necessary sections. This includes providing emergency contact information and signing the document as confirmation of accuracy.

Medical History Disclosure: The medical history section is critical. Any “yes” responses must be explained thoroughly to ensure the physician has complete insight into the student's health.

Physical Examination Requirement: A licensed healthcare professional must perform the physical examination section. Their signature and assessment are required for the form to be considered complete.

Documentation Storage: Schools are required to keep the completed form on file as mandated by regulations. Ensuring it is easily accessible is essential for compliance.

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