Florida's Second Chance Act, in section 1006.20, F.S., requires every first-time high school participant in FHSAA athletics to have an electrocardiogram before taking part, starting July 1, 2026. This one-page form documents that screening, either through a parent attestation backed by the normal result or through a licensed practitioner's interpretation. The student turns it in to the school with the EL2 physical.
The student and parent fill in the student information block, then complete only one section: Section A, the parent or guardian attestation of a normal ECG, medical exception or religious objection, or Section B, where a licensed practitioner reads the ECG and signs with credentials and license number.
Print the student's full name, biological sex, age, date of birth, school, grade in school and student ID legibly. The student and parent complete this block whichever attestation section is used below it. The ME1 medical exception certificate, attached when Section A claims an exception, carries the same student information block, including the student ID.
This paragraph points parents to the FHSAA EL3 Consent and Release form for sudden cardiac arrest information and restates the rule: from July 1, 2026, all first-time high school participants need an ECG before participating. It applies to students without cardiac symptoms, accepts an ECG done within two years before July 1 of the participation year, and requires clearance by a practitioner trained in ECG management when further evaluation is needed. It also instructs families to complete only one of the two sections that follow.
The parent selects one option and signs. The first option is an ECG completed by Who We Play For, a Florida hospital or another healthcare organization and electronically signed by a licensed physician; the parent enters the date of the normal result and the organization, and attaches the normal result from the health record or the provider's email. The other options are a medical exception, with FHSAA Form ME1 attached, or a religious objection allowed by law. The parent then signs, prints their name and dates the section.
The practitioner certifies licensure under chapter 458, 459, 460, s. 464.012 or s. 464.0123, F.S., or equivalent, and familiarity with the International Criteria for ECG interpretation in student-athletes. Check one result: normal ECG, normal variant ECG under the International Criteria (both need no further evaluation), or further evaluation required, which means an EL1/2S must be completed. Sign, print your name and date it, then add credentials, license number, phone and practice address. The school looks for a complete signature block and one checked result.
Download the current version from the source each time; forms change without notice.
EL1 ECG Screening Form
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Sources for this guide
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Starting with the 2026-27 school year, every incoming 9th-grade student-athlete and any student in grades 10 to 12 who has never participated in an FHSAA-sanctioned sport must have an ECG before participating. The FHSAA strongly encourages returning athletes to get one too, but they are not required to submit the EL1.
The form accepts an ECG completed within two years before July 1 of the participation year. For the first year of the requirement, the FHSAA says an ECG performed on or after July 1, 2024 satisfies it. In Section A the parent records the date of the normal result and the organization that performed the ECG.
A practitioner licensed under chapter 458, 459 or 460, section 464.012 or 464.0123, Florida Statutes, or holding equivalent licensure, who is familiar with the International Criteria for ECG interpretation in student-athletes. The practitioner signs, prints their name, dates the form and adds credentials, license number and contact details.
In Section B the practitioner checks that further evaluation by a licensed medical professional is required, and the student is referred to a practitioner trained in the diagnosis, evaluation and management of ECGs. That specialist documents the evaluation and clearance on Form EL1/2S, which the school needs before the student can compete, practice, try out or work out.