MHSAA requires a current-year physical before a Michigan student takes part in school athletics, meaning one given on or after April 15 of the previous school year. Its two-page form has the medical history and the examiner's physical examination and medical clearance on the front, with consent, insurance and emergency treatment signatures on the back.
An MD, DO, PA or NP completes the physical examination and medical clearance section, checks a credential box and signs. The parent, guardian or 18-year-old student completes the history, emergency information and the four signatures on page 2.
Download the current version from the source each time; forms change without notice.
MHSAA Pre-Participation Physical Evaluation (Student-Athlete Physical Exam / Medical History Form)
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MHSAA defines a current-year physical as one given on or after April 15 of the previous school year. The rule is printed on both pages of the form, so an exam in late April or May can cover the following school year.
The physical examination and medical clearance section is completed by an MD, DO, PA or NP, who checks one of those boxes beside the signature. The examiner returns the form directly to the patient rather than to the school.
Yes. MHSAA posts the two-page physical form in English, Spanish and Arabic on its physical exam and medical history forms page. MHSAA no longer uses its separate health questionnaire, so the two-page form is the whole requirement.