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The Virginia High School League (VHSL) Physical Form plays a crucial role in ensuring student-athletes are safe and eligible to participate in sports. This form, designed for students intending to engage in any VHSL athletic activities, combines essential components like parental consent, athletic participation details, and a comprehensive physical examination. Parents and guardians must sign it, showing their approval for their child's involvement in sports while also acknowledging the inherent risks involved. Each school year, a separate signed form is required, covering participation from May 1 through June 30 of the corresponding school year. Students need to disclose vital information such as their personal details, academic records, and medical history, allowing healthcare providers to assess their health status before joining any athletic program. Additionally, the physical examination, which must occur annually, evaluates the student's overall fitness and identifies any potential medical issues that may affect their ability to compete safely. Understanding the guidelines, eligibility rules, and submission requirements outlined in the VHSL Physical Form is essential for every student-athlete aiming to thrive in their chosen sports while prioritizing their health and well-being.

Vhsl Physical Example

VIRGINIA HIGH SCHOOL LEAGUE, INC.

1642 State Farm Blvd., Charlottesville, Va. 22911

REVISED JANUARY 2021

Page 1 of 4

ATHLETIC PARTICIPATION/PARENTAL CONSENT/PHYSICAL EXAMINATION FORM

Separate signed form is required for each school year MAY 1 of the current year through JUNE 30 of the succeeding year.

For school year_________

PART I- ATHLETIC PARTICIPATION

Male___

 

 

 

(To be filled in and signed by the student)

Female___

PRINT CLEARLY

 

 

 

 

 

Name

_________________________________________________________________

Student ID#______________________________

 

(Last)

 

(First)

(Middle Initial)

 

Home Address

________________________________________________________________________________________________________

City/Zip Code

________________________________________________________________________________________________________

Home Address of Parents

________________________________________________________________________________________________

City/Zip Code

________________________________________________________________________________________________________

Date of Birth

____________________________________

Place of Birth

________________________________________________

This is my _______ semester in _________________________ High School, and my _______ semester since first entering the ninth grade. Last

semester I attended __________________________________ School and passed _______ credit subjects, and I am taking _______ credit subjects

this semester. I have read the condensed individual eligibility rules of the Virginia High School League that appear below and believe I am eligible to represent my present high school in athletics.

INDIVIDUALIZED ELIGIBILITY RULES

To be eligible to represent your school in any VHSL interscholastic athletic contest, you:

Must be a regular bona fide student in good standing of the school you represent.

Must be enrolled in the last four years of high school. (Eighth-grade students may be eligible for junior varsity)

Must have enrolled not later than the fifteenth day of the current semester.

For the first semester must be currently enrolled in not fewer than five subjects, or their equivalent, offered for credit and which may be used for graduation and have passed five subjects, or their equivalent, offered for credit and which may be used for graduation the immediately preceding year or the immediately preceding semester for schools that certify credits on a semester basis. (Check with your principal for equivalent requirements.) May not repeat courses for eligibility purposes for which credit has been previously awarded.

For the second semester must be currently enrolled in not fewer than five subjects, or their equivalent, offered for credit and which may be used for graduation and have passed five subjects, or their equivalent, offered for credit and which may be used for graduation the immediately preceding semester. (Check with your principal for equivalent requirements.)

Must sit out all VHSL competition for 365 consecutive calendar days following a school transfer unless the transfer corresponded with a family move. (Check with your principal for exceptions.)

Must not have reached your nineteenth birthday on or before the first day of August of the current school year.

Must not, after entering ninth grade for the first time, have been enrolled in or been eligible for enrollment in high school more than eight consecutive semesters.

Must have submitted to your principal before any kind of participation, including tryouts or practice as a member of any school athletic or cheerleading team, an Athletic Participation/Parent Consent/Physical Examination Form, completely filled in and properly signed attesting that you have been examined during this school year and found to be physically fit for competition and that your parents’ consent to your participation.

Must not be in violation of VHSL Amateur, Awards, All Star or College Team Rules. (Check with your principal for clarification about cheerleading.)

Eligibility to participate in interscholastic athletics is a privilege you earn by meeting not only the above-listed minimum standards, but also all other standards set by your League, district and school. If you have any question regarding your eligibility or are in doubt about the effect an activity might have on your eligibility, check with your principal for interpretations and exceptions provided under League rules. Meeting the intent and spirit of League standards will prevent you, your team, school and community from being penalized. Additionally, I give my consent and approval for my picture and name to be printed in any high school or VHSL athletic program, publication or video.

LOCAL SCHOOL DIVISIONS AND VHSL DISTRICTS MAY REQUIRE ADDITIONAL STANDARDS TO THOSE LISTED ABOVE.

→Student Signature:_____________________________________________________ Date:_______________________________

PROVIDING FALSE INFORMATION WILL RESULT IN INELIGIBILITY FOR ONE YEAR.

REVISED JANUARY 2021

Page 2 of 4

The pre-participation physical examination is not a substitute for a thorough annual examination by a student’s primary care physician.

PART II- MEDICAL HISTORY (Explain “YES” answers below)

This form must be complete and signed, prior to the physical examination, for review by examining practitioner.

Explain “YES” answers below with number of the question. Circle questions you don’t know the answers to.

 

GENERAL MEDICAL HISTORY

YES

NO

 

MEDICAL QUESTIONS CONTINUED

 

YES

NO

1.

Do you have any concerns that you would like to discuss with

24. Have you had mononucleosis (mono) within the last month?

 

 

your provider?

 

25.

Are you missing a kidney, eye, testicle, spleen or other

 

 

 

 

 

 

2.

Has a provider ever denied or restricted your participation in

 

internal organ?

 

 

 

 

 

 

sports for any reason?

 

26.

Do you have groin or testicle pain or a painful bulge or hernia

 

 

 

 

 

 

3.

Do you have any ongoing medical conditions? If so, please

 

 

 

in the groin area?

 

 

 

 

 

 

 

 

identify:  Asthma Anemia Diabetes  Infections

27.

Have you ever become ill while exercising in the heat?

 

 

Other: _________________________

 

 

28.

When exercising in the heat, do you have severe muscle

 

 

 

4.

Are you currently taking any medications or supplements on

 

cramps?

 

 

a daily basis?

 

29.

Do you have headaches with exercise?

 

 

 

 

 

 

5.

Do you have allergies to any medications?

30.

Have you ever had numbness, tingling or weakness in your

 

6.

Do you have any recurring skin rashes or rashes that come

 

 

 

arms or legs or been unable to move your arms or legs

 

 

and go, including herpes or methicillin-resistant

 

AFTER being hit or falling?

 

 

 

 

Staphylococcus aureus (MRSA)?

 

 

31.

Do you or does someone in your family have sickle cell trait

 

7.

Have you ever spent the night in the hospital? If yes, why?

 

or disease?

 

 

 

 

 

 

______________________________________

32.

Have you had any other blood disorders?

 

 

 

 

 

8.

Have you ever had surgery?

33.

Have you had a concussion or head injury that caused

 

 

HEART HEALTH QUESTIONS ABOUT YOU

YES

NO

 

confusion, a prolonged headache or memory problems?

 

 

 

 

 

 

9.

Have you ever passed out or nearly passed out DURING or

34.

Have you had or do you have any problems with your eyes

 

 

AFTER exercise?

 

 

or vision?

 

 

 

 

 

 

 

 

 

10.

Have you ever had discomfort, pain, tightness, or pressure in

35.

Do you wear glasses or contacts?

 

 

your chest during exercise?

36.

Do you wear protective eyewear like goggles or a face shield?

 

 

 

 

 

11.

Does your heart race, flutter in your chest or skip beats

37.

Do you worry about your weight?

 

 

(irregular beats) during exercise?

38.

Are you trying to or has anyone recommended that you gain

 

 

 

 

 

12.

Has a doctor ever ordered a test for your heart? For

 

or lose weight?

 

 

 

 

 

 

example, electrocardiography or echocardiography.

 

 

 

 

 

 

39.

Do you limit or carefully control what you eat?

 

 

 

 

 

13.

Has a doctor ever told you that you have any heart problems,

 

 

40.

Have you ever had an eating disorder?

 

 

including:

 

 

 

41.

Are you on a special diet or do you avoid certain types of

 

 

 

 

 High blood pressure

 A heart murmur

 

 

 

foods or food groups?

 

 

 

 

 High cholesterol

 A heart infection

42.

Allergies to food or stinging insects?

 

 

 Kawasaki Disease

 Other _______________

 

 

43.

Have you ever had a COVID-19 diagnosis? Date:

 

 

 

 

 

 

 

 

 

 

 

 

44.

What is the date of your last Tdap or Td (tetanus) immunization?

 

 

 

 

 

 

 

 

(circle type) Date: ____________

 

 

14.

Do you get light-headed or feel shorter of breath than your

 

 

 

 

 

 

friends during exercise?

 

 

FEMALES ONLY

 

YES

NO

 

 

 

 

 

 

15.

Have you ever had a seizure?

45.

Have you ever had a menstrual period?

 

 

HEART HEALTH QUESTIONS ABOUT YOUR FAMILY

YES

NO

46.

Age when you had your first menstrual period: ___________

 

 

16.

Does anyone in your family have a heart problem?

47.

Number of periods in the last 12 months: _______________

 

 

17.

Has any family member or relative died of heart problems or

 

 

48.

When was your most recent menstrual period? __________

 

 

 

had an unexpected or unexplained sudden death before age

 

EXPLAIN “YES” ANSWERS BELOW

 

 

 

35 (including drowning or unexplained car crash)?

 

 

#

>>

 

 

 

18.

Does anyone in your family have a genetic heart problem

 

 

 

 

 

 

 

 

such as hypertrophic cardiomyopathy (HCM), Marfan

 

 

#

>>

 

 

 

 

syndrome, arrhythmogenic right ventricular cardiomyopathy

 

 

 

 

 

 

(ARVC), long QT syndrome (LQTS), short QT syndrome (SQTS),

#

>>

 

 

 

 

 

 

 

 

 

 

Brugada syndrome, or catecholaminergic polymorphic

 

 

 

 

 

 

 

 

ventricular tachycardia (CPVT)?

 

 

 

 

 

 

 

 

 

 

#

>>

 

 

 

 

 

 

 

 

 

 

 

19.

Has anyone in your family had a pacemaker or an implanted

 

 

 

 

 

 

defibrillator before age 35?

#

>>

 

 

 

 

 

 

 

 

 

 

BONE AND JOINT QUESTIONS

YES

NO

 

 

 

 

 

20.

Have you ever had a stress fracture or an injury to a bone,

#

>>

 

 

 

 

muscle, ligament, joint, or tendon that caused you to miss a

 

 

 

 

 

 

practice or game?

 

 

 

#

>>

 

 

 

21.

Do you currently have a bone, muscle or joint injury that

 

 

 

 

 

 

bothers you?

 

List medications and nutritional supplements you are currently taking here:

 

 

 

 

 

MEDICAL QUESTIONS

YES

NO

 

 

 

 

 

22.

Do you cough, wheeze or have difficulty breathing during or

 

 

 

 

 

 

after exercise?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23.

Do you have asthma or use asthma medicine (inhaler,

 

 

 

 

 

 

nebulizer)?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

→ Parent/Guardian Signature: _______________________ Date: ______ → Athlete’s Signature: _____________________

REVISED JANUARY 2021

PART III- PHYSICAL EXAMINATION

(Physical examination form is required each school year dated after May 1 of the preceding school year

and is good through June 30 of the current school year)**

Page 3 of 4

NAME__________________________________________ DATE OF BIRTH________________ SCHOOL____________________________________

Height

 

 

Weight

 

 

 

 Male

 

 Female

 

BP

/

Resting pulse

Vision R 20/

 

L 20/

 

 

Corrected  Yes

 No

 

 

 

 

 

 

 

 

 

 

 

 

MEDICAL

 

 

NORMAL

 

 

ABNORMAL FINDINGS

 

Appearance (Marfan stigmata: kyphoscoliosis, high-arched palate, pectus

 

 

 

 

 

 

 

 

excavatum, arachnodactyly, hyperlaxity, myopia, mitral valve prolapse, and

 

 

 

 

 

 

aortic insufficiency)

 

 

 

 

 

 

 

 

 

 

 

Eyes/ears/nose/throat (Pupils equal, hearing)

 

 

 

 

 

 

 

 

 

Lymph nodes

 

 

 

 

 

 

 

 

 

 

 

Heart (Murmurs: auscultation standing, supine, +/- Valsalva)

 

 

 

 

 

 

 

 

Pulses

 

 

 

 

 

 

 

 

 

 

 

 

Lungs

 

 

 

 

 

 

 

 

 

 

 

 

Abdomen

 

 

 

 

 

 

 

 

 

 

 

Skin (Herpes simplex virus, lesions suggestive of MRSA or tinea corporis)

 

 

 

 

 

 

 

 

Neurological

 

 

 

 

 

 

 

 

 

 

 

 

 

MUSCULOSKELETAL

 

 

NORMAL

 

 

ABNORMAL FINDINGS

 

Neck

 

 

 

 

 

 

 

 

 

 

 

 

Back

 

 

 

 

 

 

 

 

 

 

 

 

Shoulder/arm

 

 

 

 

 

 

 

 

 

 

 

Elbow/forearm

 

 

 

 

 

 

 

 

 

 

 

Wrist/hand/fingers

 

 

 

 

 

 

 

 

 

 

 

Hip/thigh

 

 

 

 

 

 

 

 

 

 

 

Knee

 

 

 

 

 

 

 

 

 

 

 

 

Leg/ankle

 

 

 

 

 

 

 

 

 

 

 

Foot/toes

 

 

 

 

 

 

 

 

 

 

 

Functional (i.e. Double leg squat, single leg squat, box drop or step drop test)

 

 

 

 

 

 

Emergency medications required on-site: Inhaler

Epinephrine

Glucagon

Other:

 

 

 

COMMENTS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I have reviewed the data above, reviewed his/her medical history form and make the following

recommendations for his/her participation in athletics:

MEDICALLY ELIGIBLE FOR ALL SPORTS WITHOUT RESTRICTION

MEDICALLY ELIGIBLE FOR ALL SPORTS WITHOUT RESTRICTION WITH RECOMMENDATION FOR FURTHER EVALUATION OR TREATMENT OF:

_______________________________________________________________________________________________________________________

MEDICALLY ELIGIBLE ONLY FOR THE FOLLOWING SPORTS:______________________________________________________________________

Reason:_________________________________________________________________________________________________________

NOT MEDICALLY ELIGIBLE PENDING FURTHER EVALUATION OF: _________________________________________________________________

NOT MEDICALLY ELIGIBLE FOR ANY SPORTS

By this signature, I attest that I have examined the above student and completed this pre-participation

physical including a review of Part II- Medical History.

PRACTITIONER SIGNATURE: ____________________________________________ (MD, DO, NP or PA) + DATE**: ________________________

EXAMINER’S NAME AND DEGREE (PRINT): ___________________________________________ PHONE NUMBER: ___________________________

ADDRESS: ________________________________________ CITY: _________________________________ STATE: _________ ZIP: ______________

+Only signature of Doctor of Medicine, Doctor of Osteopathic Medicine, Nurse Practitioner or Physician’s Assistant

licensed to practice in the United States will be accepted.

Rule 28B-1 (3) Physical Examination Rule/Transfer Student (10-90)- When an out-of-state student who has received a current physical examination elsewhere transfers to Virginia and attaches proof of that physical examination to the League form #2, the student is in compliance with physical examination requirements.

REVISED JANUARY 2021

Page 4 of 4

PART IV- ACKNOWLEDGEMENTS OF RISK AND INSURANCE STATEMENT

(To be completed by parent/guardian)

I give permission for _____________________________________ (name of child/ward) to participate in any of the

following sports that are NOT crossed out: baseball, basketball, cheerleading, cross country, field hockey, football, golf, gymnastics,

lacrosse, soccer, softball, swim/dive, tennis, track, volleyball, wrestling, other (identify sports): _______________________________

I have reviewed the individual eligibility rules and I am aware that with the participation in sports comes the risk of injury to my child/ward. I understand that the degree of danger and the seriousness of the risk varies significantly from one sport to another with contact sports carrying the higher risk. I have had an opportunity to understand the risk inherent in sports through meetings, written handouts or some other means. He/she has student medical/accident insurance available through the school (yes__ no__); has athletic participation insurance coverage through the school (yes__ no__); is insured by our family policy with:

Name of medical insurance company: _____________________________________________________________________________

Policy number: ______________________________________

Name of policy holder: _______________________________

I am aware that participating in sports will involve travel with the team. I acknowledge and accept the risks inherent in the sport and with the travel involved and with this knowledge in mind, grant permission for my child/ward to participate in the sport and travel with the team.

By this signature, I hereby consent to allow the physician(s) and other health care provider(s) selected by myself or the school to perform a pre-participation examination on my child and to provide treatment for any injury or condition resulting from participation in athletics/activities for his/her school during the school year covered by this form. I further consent to allow said physician(s) of health care provider(s) to share appropriate information concerning my child that is relevant to participation in athletics and activities with coaches and other school personnel as deemed necessary.

Additionally, I give my consent and approval for the above named student’s picture and name to be printed in any high school or VHSL athletic program, publication or video.

To access quality, low-cost comprehensive health insurance through FAMIS for your child, please contact Cover Virginia by going to www.coverva.org or calling 855-242-8282.

PART V- EMERGENCY PERMISSION FORM*

(To be completed and signed by the parent/guardian)

STUDENT’S NAME: ____________________________________________ GRADE: __________ AGE: _______ DOB: ______________

HIGH SCHOOL: ___________________________________________________________ CITY: _______________________________

Please list any significant health problems that might be significant to a physician evaluating your child in case of an emergency:

____________________________________________________________________________________________________________

PLEASE LIST ANY ALLERGIES TO MEDICATIONS, ETC: _________________________________________________________________

____________________________________________________________________________________________________________

IS THE STUDENT CURRENTLY PRESCRIBED AN INHALER OR EPI-PEN? ______ LIST THE EMERGENCY MEDICATION: ________________

IS THE STUDENT PRESENTLY TAKING ANY OTHER MEDICATION? _______ IF SO, WHAT? ____________________________________

DOES THE STUDENT WEAR CONTACT LENSES? ______________________ DATE OF LAST Tdap OR Td (TETANUS) SHOT: ___________

EMERGENCY AUTHORIZATION: In the event I cannot be reached in an emergency, I hereby give permission to physicians selected by the coaches and staff of ____________________________________ High School to hospitalize, secure proper treatment for and to

order the injection and/or anesthesia and/or surgery for the person named above.

DAYTIME PHONE NUMBER (WHERE TO REACH YOU IN AN EMERGENCY): _________________________________________________

EVENING TIME PHONE NUMBER (WHERE TO REACH YOU IN AN EMERGENCY): ____________________________________________

CELL PHONE NUMBER: ____________________________________________

SIGNATURE OF PARENT/GUARDIAN: ________________________________________________ DATE: _____________________

RELATIONSHIP TO STUDENT: ____________________________________________________________________________________

*Emergency Permission Form may be reproduced to travel with respective teams and is acceptable for emergency treatment in needed.

I CERTIFY ALL OF THE ABOVE INFORMATION IS CORRECT: __________________________________________________________

Parent/Guardian signature

The pre-participation physical examination is not a substitute for a thorough annual examination by a student’s primary care physician.

Form Characteristics

Fact Name Description
Governing Body The form is governed by the Virginia High School League, Inc. (VHSL).
Validity Period This physical examination form is valid from May 1 of the current year through June 30 of the succeeding year.
Eligibility Check Students must affirm their eligibility according to VHSL’s individual eligibility rules before participating in athletics.
Student Information Personal details, such as name, date of birth, and student ID, must be provided on the form.
Medical History A comprehensive medical history section requires students to answer “YES” or “NO” to various health questions.
Parental Consent Parents or guardians must sign the form to grant consent for their child to participate in sports activities.
Physical Examination Requirement A new physical examination must be conducted each school year, ensuring the student is fit for competition.
Emergency Authorization Parental consent for emergency medical treatment is required in case of an injury or health issue during participation.
Consequences of False Information Providing false information can result in a one-year period of ineligibility to participate in athletics.

Guidelines on Utilizing Vhsl Physical

Completing the VHSL Physical Form involves several key steps. Ensure all information is accurate and clear to prevent delays in participation eligibility. Following these steps will help facilitate a smooth submission process.

  1. Obtain the Form: Get a physical form from the school's athletic department or download it from the VHSL website.
  2. Complete Part I: Fill out your personal information, including name, student ID number, home address, and date of birth. Indicate your gender and semester details accurately.
  3. Read and Understand Eligibility Rules: Review the VHSL individual eligibility rules provided in the form. Ensure compliance and determine if you meet all requirements.
  4. Sign and Date: After completing Part I, sign and date the form affirming your eligibility and consent for your picture and name to be used in publications.
  5. Complete Part II: Answer all medical history questions thoroughly. Circle any questions for which you are unsure of the answers. Be prepared to discuss any "YES" answers with your healthcare provider.
  6. List Medications: Write down all medications and nutritional supplements you are currently taking in the designated area.
  7. Schedule the Physical Examination: Set an appointment with a licensed medical practitioner to complete Part III of the form. Bring the form to the appointment.
  8. Review and Sign Medical Section: The healthcare provider must examine you and complete the physical examination section. Ensure they sign and date the form appropriately.
  9. Complete Part IV: A parent or guardian must review the risks involved and provide consent for your participation in sports. Fill out all required information regarding emergency contacts and health insurance.
  10. Emergency Permission Form (Part V): Provide details about any significant health issues, allergies, and medications. Obtain the required signatures from a parent or guardian.
  11. Submit the Form: Return the completed form to the school’s athletic office before the deadline. Keep a copy for your records.

What You Should Know About This Form

What is the VHSL physical form and why is it necessary?

The VHSL physical form is a document that students must complete to participate in interscholastic athletics under the regulations of the Virginia High School League. It includes sections for athletic participation, parental consent, medical history, and a physical examination by a healthcare provider. This form ensures that students are physically fit for competition and have parental approval for their participation in sports. It must be submitted annually and is essential for maintaining safety and eligibility standards in school athletics.

How often should the VHSL physical form be completed?

The physical form must be renewed each school year, specifically between May 1 of the current year and June 30 of the succeeding year. This means that every student participating in athletics should submit a new, signed form indicating a recent physical examination, valid for the upcoming school year.

What specific information is required on the VHSL physical form?

The form requires detailed information about the student, including their name, date of birth, school, and student ID number. Additionally, it asks for a medical history covering any past injuries, health issues, or medications. There is also a section for a healthcare provider to document the physical examination findings and assess the student's suitability for sports participation.

What happens if a student provides false information on the form?

Providing false information on the VHSL physical form can have serious consequences, including ineligibility to participate in sports for a full year. This emphasizes the importance of honesty in completing the form and underlines the VHSL's commitment to maintaining the integrity and safety of its athletic programs.

What should parents or guardians know about their responsibilities related to the VHSL physical form?

Parents or guardians are responsible for signing the VHSL physical form on behalf of their child. This signature indicates their consent for the child's participation in athletics and acknowledges the associated risks. Parents should also be aware of their child’s health status and any relevant medical conditions that should be reported in the medical history section. They play a vital role in ensuring all information is accurate and up-to-date to protect their child's eligibility and safety in sports.

Common mistakes

Filling out the Virginia High School League (VHSL) Physical form correctly is crucial for student-athletes. One common mistake involves incomplete information. Many individuals neglect to provide all required details, such as the student's complete mailing address or the parent's address. Omissions can cause unnecessary delays in processing the form or even worse, hinder an athlete's eligibility to participate.

Another frequent error is failing to accurately report medical history. Students may overlook disclosing significant information, such as past surgeries or ongoing medical conditions. This oversight can lead to improper assessments by medical professionals and may place the athlete at risk. Therefore, it is essential to answer all medical history questions honestly and thoroughly.

In addition, not adhering to the signing requirements can result in complications. Both student and parent signatures are mandatory. Parents often forget to sign or date the form, which can render it invalid. Athletes should double-check that both signatures are present and confirm they are dated appropriately.

Lastly, failure to keep track of the validity period of the physical examination can lead to issues. The VHSL specifies that physical exams must be updated annually. If an examination is too old by the start of the school year, the athlete may be considered ineligible. Students must take note of the specified dates and ensure that their forms are valid for the entire athletic season.

Documents used along the form

When it comes to participating in high school athletics, the VHSL Physical form is just one vital document. Several other forms are equally important for safeguarding the well-being of student-athletes and ensuring they meet necessary requirements. Below is a list of nine additional documents often used in conjunction with the VHSL Physical form.

  • Emergency Permission Form: This form allows parents or guardians to authorize medical treatment in case of an emergency. It is crucial for school personnel to have access to this document during athletic events, ensuring timely medical care for the student.
  • Concussion Awareness Form: This document provides information about the signs and symptoms of concussions. Student-athletes and their parents must sign this form to acknowledge their understanding of the risks associated with concussions.
  • Parental Consent Form: Required by many school districts, this form gives permission for students to participate in specific sports. It often includes acknowledgment of the inherent risks of physical activity, thereby protecting schools from liability.
  • Insurance Verification Form: This form ensures that student-athletes have appropriate medical insurance coverage. It outlines the insurance company's details and policy number, confirming financial responsibility in the event of an injury.
  • Student-Athlete Code of Conduct Form: This form outlines the expectations and responsibilities for student-athletes regarding behavior, sportsmanship, and academics. Signing this form reinforces the importance of maintaining a positive representation of the school.
  • Medication Authorization Form: If a student requires medication during school hours or athletic activities, this form ensures proper authorization. It allows designated staff to administer medication safely, respecting student health needs.
  • Health History Form: This document provides a comprehensive overview of a student's medical history. It assists healthcare providers in identifying any pre-existing conditions or concerns relevant to athletic participation.
  • Physical Fitness Assessment Form: Some schools may require this form to evaluate the physical readiness of student-athletes. It assesses their fitness levels and may dictate their ability to participate in specific sports or conditioning programs.
  • Transportation Permission Form: If students are traveling for athletic events, this form allows them to ride with designated individuals. It ensures that parents consent to travel arrangements, prioritizing student safety.

Each of these forms plays a crucial role in the well-being of student-athletes and the overall integrity of school sports programs. It’s essential for parents, guardians, and students to be well-informed about these documents to facilitate a safe and enjoyable sports experience.

Similar forms

  • Sports Participation Form: Similar to the VHSL Physical form, the Sports Participation Form requires student and parental consent for athletic involvement. It typically includes sections for personal details, medical history, and acknowledgment of risks associated with sports activities.
  • Annual Medical Examination Form: This document serves as a comprehensive record of a student's health status, much like the VHSL Physical form. It typically requires a healthcare provider’s assessment, detailing any medical conditions, medications, and fitness for participation in sports.
  • Emergency Contact Form: Like the VHSL Physical form, the Emergency Contact Form collects crucial information for emergency situations. It asks for contact details of parents or guardians and may include medical history pertinent to emergency care.
  • Concussion Return to Play Protocol: This document is similar in that it outlines steps for a student to safely return to sports after a concussion. It requires medical clearance and continuous monitoring, emphasizing the importance of health and safety, akin to the VHSL requirements.
  • Health Insurance Information Form: Just as the VHSL Physical form includes acknowledgment of health insurance coverage, the Health Insurance Information Form requests details about the student's insurance. It helps schools ensure that students are covered in case of injury during athletic participation.

Dos and Don'ts

When filling out the VHSL Physical form, there are certain actions that can help ensure a smooth process and several missteps to avoid.

  • Do print clearly and use black or blue ink to fill out all sections.
  • Do ensure you have the form signed by a parent or guardian.
  • Do double-check that all medical history questions are answered honestly.
  • Do bring the completed form to your physical examination appointment.
  • Don't leave any sections blank; incomplete forms may not be accepted.
  • Don't provide false information; this could lead to ineligibility.
  • Don't forget to take your completed form to your physical; practitioners need it for review.
  • Don't rush through the form; taking your time can prevent mistakes.

Misconceptions

Here are 10 misconceptions about the VHSL Physical Form along with clarifications:

  • Misconception 1: The VHSL Physical Form is valid for multiple years.
  • The VHSL Physical Form must be submitted every school year. It is only valid from May 1 of the current year through June 30 of the succeeding year.

  • Misconception 2: All students need only one physical examination throughout high school.
  • Students must complete a new physical examination form every school year before participating in athletics.

  • Misconception 3: Parents are not required to sign the form.
  • A parent or guardian signature is mandatory on the form to give consent for a student’s participation in sports.

  • Misconception 4: Completing the form ensures automatic eligibility for participation.
  • Completing the VHSL Physical Form does not guarantee eligibility. Students must also meet academic and conduct standards.

  • Misconception 5: Any healthcare provider can complete the physical examination.
  • The examination must be performed by a qualified medical professional, such as an MD, DO, nurse practitioner, or physician's assistant.

  • Misconception 6: The form is primarily for the athlete’s use only.
  • The VHSL Physical Form is used to inform school officials and coaches about a student's fitness and health status.

  • Misconception 7: The medical history section is optional.
  • Completing the medical history section is required for a thorough review prior to the physical examination.

  • Misconception 8: After submitting the form, athletes can participate immediately.
  • Students must wait until they receive confirmation from school officials regarding their eligibility to participate in sports.

  • Misconception 9: It is acceptable to use a physical examination from a previous school year.
  • Each student must have a current physical examination form completed after May 1 of the previous school year.

  • Misconception 10: The VHSL Physical Form replaces a regular check-up with a primary care physician.
  • The pre-participation physical examination is not a substitute for a thorough annual examination by a student’s primary care physician.

Key takeaways

The VHSL Physical Form is essential for any student wishing to participate in athletics in Virginia. Here are some key takeaways to guide you through the process:

  • Separate Forms are Required: Each school year, a new signed VHSL Physical Form must be submitted. This form is valid from May 1 of one year until June 30 of the next year.
  • Detailed Personal Information: Students must provide clear and accurate details, including their name, student ID, home address, date of birth, and schooling history.
  • Eligibility Requirements: Familiarize yourself with the VHSL eligibility rules. These include being a bona fide student, meeting the enrollment criteria, and maintaining certain academic standards.
  • Medical History: The form requires a comprehensive medical history. It’s important to answer all questions honestly, especially those regarding past injuries or medical conditions.
  • Parental Consent: A parent or guardian must sign the form, confirming their child's eligibility and granting permission for participation in sports.
  • Physical Examination: Before the form is completed, a physical exam must be conducted by a licensed medical professional, who will assess the student's fitness for sports.
  • Acknowledgment of Risks: Parents should be aware of the risks associated with sports participation. The form includes a section for them to acknowledge and accept these risks.
  • Emergency Permission: An emergency permission section allows parents to grant authority for medical treatment in case of an emergency when they cannot be reached.

Filling out the VHSL Physical Form accurately helps ensure that students are eligible and safe to participate in athletics. Always keep a copy of the completed form for your records. If there are any questions or concerns, consulting with school officials is always a wise step.