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Montana MHSA Preparticipation Physical Exam Form

MHSA Handbook Article II, Section 3 requires a physical exam before a Montana student's first practice. This confidential MHSA form, updated 4/26 for 2026-27, is the only form accepted: the family completes the history, including a PHQ-4 screen, and the provider completes the physical examination and clearance page and signs to clear the student.

Who completes it

A licensed medical professional acting within the scope of their practice reviews the history with the family, performs the exam, completes the clearance and signs. The student and parent complete and sign the history and permission sections.

Submitting and payment

How to submit it
The completed form is given to the appropriate school administrator.
Who pays
MHSA sets no fee for the physical and does not say who pays.

Good to know

  • Exams on or after May 1 are valid for the following two school years; earlier exams cover only the rest of that year and the next.
  • In off years, an interim history form is submitted to the school before the first practice.
  • All 9th graders need a physical after May 1 of the year they enter high school, even if they had one in 8th grade.
  • MHSA advises schools that coaches should not see the full form and that records are typically kept 7 years after graduation.

Get the official form

Download the current version from the source each time; forms change without notice.

MHSA Confidential Athletic Preparticipation Physical Examination

Official pagePDF

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

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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

How long is a Montana MHSA physical valid?

An exam on or after May 1 is valid for the following two school years. An exam before May 1 is valid only for the rest of that school year and the next one. In off years, the student submits an interim history form before the first practice.

Who can sign the MHSA physical form?

MHSA requires the exam to be certified by a licensed medical professional acting within the scope and limitations of their practice. The provider's signature is required to clear the student, along with printed name, address, phone and date.

Can another physical form be used in Montana?

No. MHSA states its pre-participation form is the only form allowed for the student's exam and that no other forms will be accepted. The completed form is given to the appropriate school administrator.