Health care provider's recommended academic accommodations for a student returning to class after a concussion.
- Completed by
- Health care provider
- Issued by
- Kansas State High School Activities Association (KSHSAA)
- Format
- Language
- English
Kansas KSHSAA Pre-Participation Physical Evaluation
KSHSAA requires an annual history and physical for athletes and cheerleaders, taken no earlier than April 1 before the school year it covers. The packet adapts pages 1 to 4 from the 2019 preparticipation physical evaluation: the family completes the history, and the provider completes the exam on page 3 and signs the Medical Eligibility Form on page 4.
Who completes it
The health care provider reviews the history with the student and parent, completes the page 3 exam and the page 4 eligibility section, and signs as MD, DO, DC, PA-C or APRN. The family completes pages 1 and 2 and signs pages 4 and 5.
Submitting and payment
- How to submit it
- The PPE becomes part of the student's school record and is not sent to KSHSAA; parents may turn in the complete PPE or only pages 4 and 5.
- Who pays
- KSHSAA sets no fee for the physical and does not say who pays.
Good to know
- The exam cannot be done earlier than April 1 preceding the school year; KSHSAA recommends completing it at least one month before the first practice.
- Page 3 reminds providers that Kansas law requires written clearance from an MD or DO before a concussed athlete returns to play or practice.
- Page 3 records dates of recent Td, Tdap, hepatitis B, varicella, HPV and meningococcal immunizations.
- Only staff with a medical or educational need should see the PPE; the Medical Eligibility Form can be shared on its own, and coaches should not collect forms at practice.
Get the official form
Download the current version from the source each time; forms change without notice.
KSHSAA Pre-Participation Physical Evaluation
How this list is checked
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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Frequently asked questions
When can a Kansas sports physical be done?
The annual history and physical can be taken no earlier than April 1 preceding the school year it applies to. KSHSAA recommends finishing it at least one month before the first practice to allow time to correct deficiencies and start conditioning recommendations.
Who can sign the KSHSAA Medical Eligibility Form?
The signature line on page 4 lists MD, DO, DC, PA-C and APRN. The provider marks one of the eligibility outcomes, adds comments and recommendations, and enters the date of examination, address and phone.
Is the KSHSAA PPE available in Spanish?
Yes. KSHSAA posts the pre-participation physical evaluation in English and Spanish on its health and safety page; the current English packet is revised 9/2025. A parent and student concussion information release form is posted in both languages too.