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I have examined the student named on this form and completed the preparticipation physical evaluation. The athlete does not have apparent clinical contraindications to practice and can participate in the sport(s) as outlined on this form.
Per Georgia High School Association By-Law 1.41(c) and the new State of Georgia law, the "Preparticipation Physical Examination" form must be signed by an M.D., D.O., or by a Physician's Assistant, or an Advance Practice Nurse who has been delegated that task by an M.D. or D.O. Alterations
GHSA Forms. All forms are Adobe PDF format, unless otherwise noted. Adobe Reader is required to view PDF documents - a free PDF reader can be downloaded from adobe.com.
As per Georgia High School Association By-Law 1.41(c) and the new State of Georgia law, the “Pre-Participation Physical Evaluation” form may be signed by a licensed Nurse Practitioner or a Physician’s Assistant provided this person has been delegated that task by an M.D. or D.O. Alterations (edits) to this copyrighted document are not permitted.
this form by the examining physician provided that such athletic activities are approved by the State Board of Education or the Georgia High School Association. I also give my consent for the student to accompany the school team on any of its local or out-of-town trips.
I have examined the student named on this form and completed the preparticipation physical evaluation. The athlete does not have apparent clinical contraindications to practice and can participate in the sport(s) as outlined on this form.
Per Georgia High School Association By-Law 1.41(c) and the new State of Georgia law, the "Preparticipation Physical Examination" form must be signed by an M.D., D.O., or by a Physician's Assistant, or an Advance Practice Nurse who has been delegated that task by an M.D. or D.O. Alterations