2022-2023 AIA PHYSICAL FORMS

    2022-23 Annual Pre-Participation Physical Evaluation


    15.7.1 A student shall not be allowed to practice or compete in interscholastic athletics until there is on file with the principal or his/her designee a record of a preparticipation physical examination (PPE) performed by a doctor of medicine (M.D.), an osteopathic physician (D.O.), a naturopathic physician (N.D., N.M.D.), a certified registered nurse practitioner (N.P.) licensed to practice, a certified physician's assistant (PA-C) registered by the Joint Board Of Medical Examiners and the Osteopathic Examiners in Medicine and Surgery, or a certified chiropractic sports physician (CCSP).

    The physical examination for the following school year shall be given on or after March 1. The physical examination on file shall be signed by one of the aforementioned medical providers and shall state that, in the opinion of the examining provider, the provider did not find any medical reason to disqualify the student from practice or competition in athletic contests. The principal or his/her designee, if deemed advisable, may require a student to be reexamined.

    15.7.2 Member schools shall utilize the physical examination forms provided by the AIA. There shall be four parts:

    Please note there is a NEW section regarding mental health that has been added to Form 15.7-A on page 4. This addition comes from the recommendation of the Sports Medicine Advisory Committee.

    All forms are linked below:

    15.7-A - Annual Preparticipation Physical Evaluation
    15.7-B - Annual Preparticipation Physical Examination
    15.7-C - Annual Preparticipation Physical Acknowledgement
    15.7-D - Consent to Treat Form
    15.7-E - Unified Sports Participant Release (Unified Athletes Only)