State Of Michigan Sports Physical Form - Last first sex grade date of birth. Schools may download any applicable forms below. Must be signed in two places on this page by parent or guardian or 18‐year‐old. Web adapted from the american academy of pediatrics ppe preparticipation physical evaluation fourth ed. By my/my child’s signature below, i/we acknowledge that i/we have received concussion educational information that meets michigan department of health and human services and mhsaa requirements. Web physical exam & clearance & consent forms. Web michigan high school athletic association, inc. To be completed by parent or guardian or 18‐year‐old. Download or order the form in english, spanish or arabic from the michigan high school athletic association website. Michigan high school athletic association, inc.
Last first sex grade date of birth. 8/22/12 page 2 of 2 copy both sides of this form for the student to return to the school and keep the entire form in the students medical record. Schools may download any applicable forms below. Must be signed in two places on this page by parent or guardian or 18‐year‐old. By my/my child’s signature below, i/we acknowledge that i/we have received concussion educational information that meets michigan department of health and human services and mhsaa requirements. Web michigan high school athletic association, inc. Web 55180 phys ed card updated. Web adapted from the american academy of pediatrics ppe preparticipation physical evaluation fourth ed. P h y s i c i a n s e c t i o n Michigan high school athletic association, inc. A current‐year physical is one given on or after april 15 of the previous school year. Download or order the form in english, spanish or arabic from the michigan high school athletic association website. To be completed by parent or guardian or 18‐year‐old. Web physical exam & clearance & consent forms.