0000001947 00000 n The PPE physical evaluation form guides primary care providers in conducting a system-based examination to include cardiovascular, nervous system, general medical conditions, respiratory system, gastrointestinal and urogenital, dermatological, When determining medical eligibility, the primary care provider should have. Athletic Forms The new Athletics online registration system is here! Please email applications in PDF Format ONLY, no photos/pictures. MD, DO, DC, NP, or PA SHARED EMERGENCY INFORMATION Allergies: Medications: Other information: Emergency . 0000011668 00000 n The Medical Eligibility 221 Form is the only form that should be submitted to a school or sports organization. 301-669-6055 Division: Chief of School Support and School Leadership Reports To: Area 3 - High Schools Welcome to our world, "The Other Side of Education". UM Urgent Care Locations. Upon publication of this packet, these forms MUST be utilized when completing required DIAA forms for athletic participation.. Each year, the . 0000001736 00000 n Athletics Compliance & Event Operations Assistant in Montgomery - NCAA As part of the online registration process for MCPS athletics, students and parents/guardians are required to review health and safety information, including materials on baseline testing, concussions, sudden cardiac arrest and key COVID-19 resources recommended by the Maryland State Department of Education. hb```e`` eaX!$IOd;{pu,.&r\ Notification of Suspected Head Injury. Additionally, behind the school environment, activities provide an essential means for students to contribute to the immediate and broader welfare of the community to which they belong and from which they derive benefits. 0000007289 00000 n endstream endobj startxref PDF Pre-participation Physical Evaluation Form (Ppe) - Ihsaa (2644 Riva Rd, Annapolis, MD 21401). 0000008031 00000 n Blue Ribbon Task Force xref Athletics - HCPS DX LL@na`3K PDF Maryland Schools Record of Physical Examination Please visit the Athletics sectionfor more information and to register your child. Commitment to Equity Call: 240-740-3000 | Spanish Hotline: 240-740-2845E-mail: [email protected], Call: 301-517-8100 | E-mail: [email protected], 19952021 Montgomery County Public Schools, 850 Hungerford Drive, Rockville, Maryland 20850, Parents/guardians must complete the online registration process for students. FCPS requires that a student shall be examined and certified as being physically fit to participate in any tryout, practice or contest of a school team. Postal Mail Submission - Forms may be sent by U.S. Mail to: The FCPS Supervisor of Behavior Analysts may be contacted at, The Ombuds for Frederick County Public Schools may be contacted at. Media Requests Physical & Medical History Sheet. More importantly, we are dedicated to serving the whole child; academically, socially and emotionally. Elevating all studentseliminating all gaps, PRE-PARTICIPATION COVID-19 Supplemental Questions for Students Physical, For a specific school phone #, please see the School List.
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