[2 complete the physical examination form (page 3) and sign the bottom of page 3. Complete the medical eligibility form (page 4) and sign page 4. Two signatures are required by the healthcare provider! Kansas state high school activities association. Two signatures are required by the healthcare provider!
Two signatures are required by the healthcare provider! 7/23 page 1 of 4 © khsaa, 2023 Complete the history form (pages 1 & 2) portion prior to your appointment with your healthcare provider. Web kansas state high school activities association 601 sw commerce pl, topeka ks 66615 ph:
Sign the bottom of the history form (page 2). Kansas state high school activities association. Complete the medical eligibility form (page 4) and the kshsaa eligibility checklist (page 5).
Older versions of this form will no longer be accepted. Complete the history form (pages 1 & 2) portion prior to your appointment with your healthcare provider. Complete the history form (pages 1 & 2) portion prior to your appointment with your healthcare provider. 7/23 page 1 of 4 © khsaa, 2023 [_] complete the physical examination form (page 3) and sign the bottom of page 3.
See below the required documents for you to download and take to your healthcare professional. This form should be kept in a secure location until the student has exhausted eligibility, graduated from high school and reached the age of 19. Complete the medical eligibility form (page 4) and sign page 4.
Review The Student Information At The Top Of Page 4, Complete The Medical Eligibility Form, And Sign Page 4.
Web review the physician reminders at the top of page 3 and complete the physical examination form. Web all students completing physical examinations need to be sure to use the form that has the revision date of 4/2023 in the bottom right hand corner. Two signatures are required by the healthcare provider! Since this is a new form, there a few changes that students, parents, and health care providers need to be aware of.
Complete The Medical Eligibility Form (Page 4) And Sign Page 4.
The ppe form becomes part of the student's record at their school and should not be sent to the kshsaa. Complete the medical eligibility form (page 4) and the kshsaa eligibility checklist (page 5). The ppe form becomes part of the student's record at their school and should not be sent to the kshsaa. Complete the medical eligibility form (page 4) and sign page 4.
See Below The Required Documents For You To Download And Take To Your Healthcare Professional.
Sign the bottom of the history form (page 2). [2 complete the physical examination form (page 3) and sign the bottom of page 3. Preparticipation physical evaluation, 5th edition publication. Complete the medical eligibility form (page 4) and sign page 4.
Kansas State High School Activities Association.
Complete the history form (pages 1 & 2) portion prior to your appointment with your healthcare provider. 601 sw commerce plaza, topeka ks 66615. Sign the bottom of the history form (page 2). Web this form must be completed before the student participates (hereinafter including try out for, practice and/or compete) in interscholastic athletics.
[2 complete the physical examination form (page 3) and sign the bottom of page 3. See below the required documents for you to download and take to your healthcare professional. Complete the medical eligibility form (page 4) and sign page 4. Complete the medical eligibility form (page 4) and sign page 4. Review the student information at the top of page 4, complete the medical eligibility form, and sign page 4.