State athletic association physicals, concussion and skin lesion releases, and NCAA, USADA, Special Olympics and dive medical forms, with who signs each one.
Most state high school associations build their sports physical on the Preparticipation Evaluation (PPE) forms from the American Academy of Pediatrics and partner societies. The PPE Physical Examination Form records the exam, and the Medical Eligibility Form clears the athlete for all, some or no sports. Texas UIL, Kansas KSHSAA, Louisiana LHSAA, Montana MHSA and Michigan MHSAA each publish their own version. This page lists 71 forms, including concussion return-to-play releases, wrestling skin lesion releases and NCAA, USADA and Special Olympics forms.
In many states only the Medical Eligibility Form goes to the school, and the history and exam stay in the medical record. Signer rules differ: Alabama's Form 5 and Wyoming's A-7/A-8 have no NP or PA line, Kansas requires an MD or DO to release a concussed athlete, and New Jersey examiners must first complete the NJDOE cardiac assessment module. 25 forms have a Spanish version, often for the history pages only. Vero Documents fills PDF forms from the visit note and the chart, and you review and sign.
Records the clinician's preparticipation physical exam of an athlete (vitals, vision, cardiac, MSK and functional exam) as the basis for sports clearance.
Certifies whether an athlete is medically eligible for all, some or no sports after the preparticipation evaluation, and shares emergency information with the school or team.
Physician documentation of an ADHD diagnosis and stimulant treatment, submitted to request a medical exception after a positive NCAA stimulant drug test.
Physician release documenting the diagnosis, treatment and non-contagious status of a wrestler's skin lesion so the wrestler may compete.
Licensed practitioner's physical exam and medical eligibility for sport that every Special Olympics athlete must have on file with the local program.
Physician's opinion of a person's medical fitness for recreational scuba or freediving training when the participant answers yes on the screening questionnaire.
Requests a Therapeutic Use Exemption so an athlete subject to anti-doping rules may use a prohibited medication for a documented condition.
Physician documentation supporting a medical exception pre-approval (MEPA) or a post-test medical exception for an NCAA banned substance (e.g., anabolic agents, hormone modulators, beta blockers, diuretics).
Physician's statement on file at the school certifying that a student in grades 7-12 passed a physical exam and is able to participate in interscholastic athletics (AHSAA Rule 1, Sec. 14).
Certifies a health history and physical exam within the prior 18 months for eligibility in ASAA activities.
Health care provider's written release for a student removed for a suspected concussion to begin/complete the return-to-play protocol (Alaska AS 14.30.142).
Physician release allowing a wrestler with a treated skin lesion to compete.
Examining provider's annual physical exam and clearance required under AIA Bylaw 15.7 for interscholastic participation.
Physical examination and clearance portion of the AAA pre-participation physical required for Arkansas interscholastic athletics.
Confirms that a student-athlete completed a qualifying electrocardiogram (ECG on or after July 1, 2024), required from July 1, 2026 for incoming 9th graders and new 10th-12th grade athletes.
Annual preparticipation history, physical exam and medical eligibility required before a student practices or competes in FHSAA sports; valid 365 days.
Clinician follow-up clearance used when the ECG screening (EL1) or the physical (EL2) requires further evaluation before eligibility.
Medical doctor's exemption of a student-athlete from the FHSAA ECG screening requirement.
Annual medical history, physical exam and clearance required for participation in GHSA athletics.
Physical examination and consent required before an Idaho high school student participates in IHSAA athletics.
Physical examination and clearance required (by IHSA By-law 2.200) before a student participates in IHSA interscholastic athletics.
Written clearance from a licensed provider plus parent consent for a student to enter and complete the school's Return-to-Play and Return-to-Learn protocols after a concussion (Illinois Youth Sports Concussion Safety Act).
History, physical examination and clearance required under IHSAA Rule 3-10 before a student practices, plus the parent consent and release certificate.
Annual physical exam and clearance (valid one calendar year) required for Iowa interscholastic athletics.
Licensed health care provider's evaluation and written clearance for a student removed for a suspected concussion (Iowa Code 280.13C).
History, physical exam and medical eligibility required for KSHSAA athletics and cheer; kept in the student's school record.
Health care provider's recommended academic accommodations for a student returning to class after a concussion.
Graduated return-to-play progression with the physician's written release required by K.S.A. 72-7119 before a student returns to full participation after a concussion.
Physician release allowing a wrestler with a skin lesion to compete.
GE04 / PPE01Required parent permission and medical consent with the provider's medical clearance, plus the optional PPE01 history and physical exam, for KHSAA high school athletics.
Written authorization from a provider before an athlete removed for a suspected concussion returns to play (KRS 160.445).
Physician documentation that a wrestler's skin condition is non-communicable so the wrestler may compete.
Medical history and physical exam clearance required for participation in LHSAA athletics.
Written statement from the attending health care provider permitting an athlete to return to competition after a concussion or head injury (La. R.S. 17:436.1).
Medical clearance required by 105 CMR 201 before a student removed from an extracurricular athletic activity for a head injury or suspected concussion may return to practice or competition.
Two-page medical history, physical examination and medical clearance required for MHSAA athletic participation each school year.
Unconditional written clearance from a medical provider plus student/parent consent before an athlete removed for concussion symptoms returns to activity.
Sports qualifying physical exam and clearance required for MSHSL athletic participation.
Physical examination form required for participation in Mississippi high school athletics.
History, provider's physical examination and clearance required before participation in MHSA sports.
Preparticipation history, physical exam and clearance used for Nebraska school activities.
NSAA Formulario De Autorización De Conmoción Cerebral
Licensed health care professional's written clearance for a student removed for a concussion to return to play (Nebraska Concussion Awareness Act).
State-mandated annual preparticipation physical (N.J.S.A. 18A:40-41.7) for public-school athletes; only the Medical Eligibility Form goes to the school.
Required sports physical packet for all NMAA pre-participation examinations, based on the PPE monograph.
PPE Part 2; PPE Part 3Annual physical exam and medical eligibility certificate required before a student-athlete participates in NCHSAA sports.
Provider's academic accommodation recommendations for a student recovering from concussion.
Licensed health care provider's evaluation and recommendations for a student-athlete with a suspected concussion under North Carolina's Gfeller-Waller Concussion Awareness Act.
Documents the graduated return-to-play progression and the licensed provider's final written clearance after concussion, required by the Gfeller-Waller Act.
Annual pre-participation health history screening and physical examination clearance required for NDHSAA-sanctioned sports.
Annual physical exam and medical eligibility certification required under OHSAA Bylaw 4 before a student practices or competes.
Written medical authorization required by Ohio law (ORC 3313.539) before a student removed for a suspected concussion may return to practice or competition.
Physical examination and parental consent certificate each student must file with the school before OSSAA participation.
CIPPE Sections 1-9Required initial physical evaluation each school year before a student practices or competes at a PIAA member school, plus re-certification for later sport seasons.
Preparticipation history, physical examination and medical eligibility required for SCHSL athletics.
Record of the physical examination and recommendation for participation, in the annual SDHSAA participation packet that also covers concussion and cardiac information.
Physician release allowing a wrestler with a skin lesion to compete.
Preparticipation medical evaluation that must be on file with the principal (TSSAA/TMSAA Bylaws Art. II, Sec. 10) stating the student passed a physical (not before April 15) and is fit to participate.
Licensed health care provider's written clearance for a student removed for a suspected concussion to return to play (Tennessee Sports Concussion Law, T.C.A. 68-55-501).
Medical release required before a student removed for signs or symptoms of sudden cardiac arrest (fainting, chest pain, etc.) may return to play under Tennessee's Sudden Cardiac Arrest Prevention Act.
Medical history and physical exam clearance required before a Texas public-school student may practice or compete in UIL athletics or marching band.
Documents physician clearance and completion of the graduated return-to-play protocol after a concussion, as required by Texas Education Code ch. 38 (Natasha's Law).
Forma Fisica (Requerido Anualmente)
Annual health history, physical examination and clearance that must be on file with the Disclosure and Consent Document before UHSAA participation.
Qualified health care professional's clearance for a student removed for a suspected concussion to return to sport (Utah Code 26B-4-4, 2011 law).
Physician release for a wrestler with a skin lesion, and physician clearance for a wrestler below the minimum body-fat percentage.
Physician release allowing a wrestler with a skin infection to compete.
Annual athletic participation consent and pre-participation physical examination required for VHSL athletics.
Recommended preparticipation physical exam and medical clearance for Washington interscholastic athletics; the eligibility form goes to the school.
Annual health history and physical examination required for WVSSAC athletic participation, packaged with concussion and sudden cardiac arrest information.
Biennial preparticipation history, physical exam and medical eligibility; only the Medical Eligibility Form (p. 4) goes to the school.
Physician release documenting diagnosis, treatment and contagious status so a wrestler with a skin lesion may compete.
Medical history, physical examination and physician's statement required for WHSAA activities participation, with parent consent and emergency-care authorization.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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It depends on the state association. The AAP PPE exam form has a signature line for an MD, DO, NP or PA. Alabama's Form 5 requires an MD or DO, and Wyoming's A-7/A-8 allows an MD, DO or DC only. Arizona also accepts naturopathic physicians and certified chiropractic sports physicians. Since March 10, 2025, Utah requires the examining provider to be board certified, and New Jersey requires the NJDOE cardiac assessment module.
Most count for one school year, with a start date for next year's exams. Michigan counts physicals given on or after April 15, Indiana on or after April 1, and Arizona on or after March 1. Florida's EL2 is valid for 365 days. Alaska accepts an exam within the previous 18 months, Montana exams on or after May 1 cover the next two school years, and Wisconsin requires a physical every other year.
State law sets the list. Kansas requires a written release from an MD or DO, with no NP or PA option. Michigan accepts an MD, DO, PA or NP, but the clearance must be unconditional. Illinois also allows certified athletic trainers, and North Carolina's Gfeller-Waller Form D allows physicians, athletic trainers, PAs, NPs and neuropsychologists. Louisiana's Return to Competition Form requires the provider's Louisiana medical license number.
The EL1 confirms that a student-athlete completed a qualifying ECG done on or after July 1, 2024. From July 1, 2026 it is required for incoming 9th graders and new 10th to 12th grade athletes in FHSAA sports, and it is turned in with the EL2 physical. If the ECG or the physical needs more evaluation, the follow-up clinician uses the EL1/2s supplemental form. A medical doctor can exempt a student on the ME1.