Texas public-school students in UIL athletics or marching band need this two-page form on file before any practice, scrimmage, performance or contest. Parents and students complete the medical history every year, while the physical examination side is required before junior high participation and again before the first and third years of high school, or after certain yes answers. The 2026 revision is approved for 2026-27.
The parent or guardian and the student complete and sign the medical history on page 1, and a school staff member records who reviewed it. A physician, licensed physician assistant, advanced practice nurse or doctor of chiropractic completes the physical examination, clearance and signature on page 2.
Completed every year by the parent and student. Enter the student's name, sex, age, date of birth, address, phone, grade and school, the personal physician, and an emergency contact with relationship and phones. The history is meant to find any condition that would make participation hazardous, so unknown answers are circled rather than guessed.
These cover illness or injury since the last checkup, hospital stays and surgery, a cardiac block (fainting, chest pain, palpitations, blood pressure, murmurs, family sudden death before 50, inherited heart conditions, recent myocarditis or mono, heart-related restrictions), head injury and seizures, missing paired organs, current doctor's care, medicines, allergies, dizziness, skin, heat illness, vision, breathing and asthma, special equipment, injuries by body area, weight, stress and sickle cell.
Question 19 asks menstrual history and question 20 asks about a missing testicle or testicular swelling or masses; for either, the student may check that they will discuss it with a medical professional instead of answering in writing. The optional ECG box records that the family chooses to obtain an ECG, will schedule and pay for it, and has read the UIL Sudden Cardiac Arrest Awareness Form.
Yes answers are explained in the box. A yes to questions 1 to 6 requires further evaluation and written clearance before any participation. Student and parent sign statements on accident risk, consent to emergency care, notifying the school of new illness or injury, and truthful answers, with UIL penalties for false ones. School staff then record who reviewed the history.
Enter the student's name, sex, age and date of birth, then height, weight, optional percent body fat, pulse, brachial blood pressure taken sitting, vision in each eye with or without correction, and whether pupils are equal. The page states it is required before junior high and before the first and third years of high school, and whenever specific history answers are yes.
Mark each body system normal or abnormal and describe findings. The grid includes lymph nodes, heart auscultation supine and standing, genitalia in males if indicated, and Marfan stigmata such as pectus excavatum and hypermobility. The initials column is completed only in station-based examinations, as the footnote on the grid explains.
Check one: cleared; cleared after completing evaluation or rehabilitation for a named condition; or not cleared for specified activities, with the reason. Add recommendations. Then print your name, date of examination, address and phone, and sign. Only a physician, licensed physician assistant, advanced practice nurse or doctor of chiropractic may sign, and the form must be complete before the student participates in any practice, in or out of season, or any performance or game.
Download the current version from the source each time; forms change without notice.
Athletic and Marching Band Pre-participation Physical Evaluation
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.
Sources for this guide
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The medical history must be completed every year by the parent and student. As a minimum, the physical examination page must be completed before junior high participation and again before the first and third years of high school, and whenever specific history questions are answered yes. Districts may require an annual exam.
The examination and clearance must be completed and signed by a physician, a physician assistant licensed by a State Board of Physician Assistant Examiners, a registered nurse recognized as an advanced practice nurse by the Board of Nurse Examiners, or a doctor of chiropractic. Forms signed by any other health care practitioner are not accepted.
Yes. The UIL athletics forms page posts a Spanish version of the Athletic and Marching Band Pre-participation Physical Evaluation alongside the English 2026 form. The UIL concussion acknowledgement and sudden cardiac arrest awareness forms are also posted in both languages.
No. The history form has an optional box for families who choose to obtain an ECG, and the family must schedule and pay for it. When a physical is required, the student must be cleared by the examining professional and waits for the ECG only if that professional says so. Districts may set their own reporting policies.