Lhsaa Medical History Evaluation Form

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Lhsaa Medical History Evaluation Form

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Lhsaa physical form pdf google drive

LHSAA Physical Form pdf Google Drive

LHSAA MEDICAL HISTORY EVALUATION IMPORTANT This form must be completed annually kept on file with the school is subject to inspection by the Rules Compliance Team Please Print Name School Grade Date This form is to be used for the Louisiana High School Athletic Association (LHSAA) medical history evaluation. It may also be used as a school entrance and/or general health exam at the local school district’s discretion. If this form is being used for school entrance, proper immunization documentation is also required. (See below).

LHSAA

Lhsaa Medical History Evaluation FormIMPORTANT: This form must be completed annually, kept on file with the school, and is subject to inspection by the Rules Compliance Team. II. COMPLETED ANNUALLY BY MEDICAL DOCTOR (MD), OSTEOPATHIC DR. (DO), NURSE PRACTITIONER (APRN) or PHYSICIAN’S ASSISTANT (PA) LHSAA MEDICAL HISTORY EVALUATION IMPORTANT This form must be completed annually kept on file with the school is subject to inspection by the Rules Compliance