WebSample Evaluation Form 1. Instructions: Use this form as a starting point for your development efforts. Customize this form, adding relevant information as appropriate or … WebThe medical form was updated in 2024 when the current Registration Form was created to reduce duplication across the two forms. The revised medical form collects information …
ATHLETE REGISTRATION Georgia
WebT35-38 (Co-ordination impairments (hypertonia, ataxia and athetosis)) T40-41 (Short stature) T42-44 (Lower limb competing without prosthesis affected by limb deficiency, leg length difference, impaired muscle power or impaired passive range of movement) T45-47 (Upper limb/s affected by limb deficiency, impaired muscle power or impaired passive ... WebThe following questions should be answered by the student-athlete with the assistance of a parent/guardian. Explain any “Yes” answers below. If additional space is needed, please attach to this form. General Medical History YES NO 1. Does the athlete have a chronic illness or see a doctor regularly for any particular problem? ----- 2. phlebotomy school bakersfield ca
Formulario Médico del Atleta – HISTORIAL MÉDICO
WebAthlete Medical Form – MEDICAL REFERRAL FORM (to be completed by a Medical Professional only if referral is needed) This page only needs to be completed and signed if the physician on page three does not clear the athlete and indicates follow-up is required. WebATHLETE MEDICAL FORM. The Special Olympics Athlete Medical Form is designed to identify health concerns that are more common among people with intellectual disabilities. Please complete the Health History section on pages 1 and 2. If you do not understand any parts of the form, you may leave those parts blank. Please sign at the bottom of page 2. WebC1-A Instructions (To be Completed by the Athlete, Parent or Guardian) 2) Athlete Information – List the athlete’s name, date of birth, gender, home address, contact … phlebotomy san antonio tx