North Dakota students in NDHSAA-sanctioned sports must file a preparticipation health history screening and physical examination clearance with the school office every year. The packet follows the PPE 5th edition: history form, athletes with disabilities supplement, physical examination form and a Medical Eligibility Form. Only the eligibility page goes to the school; the medical facility keeps the rest.
The parent and athlete fill out the history form (and the disabilities supplement only if the athlete has special needs) before the visit; an MD, DO, PA or NP completes the physical examination and signs the Medical Eligibility Form. A parent signs the permission for emergency medical treatment on the eligibility page.
Download the current version from the source each time; forms change without notice.
NDHSAA Preparticipation Physical Evaluation Form
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Under the NDHSAA Constitution and By-Laws, physical evaluations may be done by a medical doctor, doctor of osteopathy, physician assistant or nurse practitioner. The signature lines on both the physical examination page and the Medical Eligibility Form list MD, DO, NP or PA after the professional's name.
One school year. NDHSAA says the health history screening and physical examination are valid for a single school year, and an exam completed on or after April 15 is valid for participation in the following school year. Students file a new clearance every year before participating.
Only the Medical Eligibility Form. NDHSAA's instructions say the medical facility should keep the history form, the athletes with disabilities supplement and the physical examination form, and that the eligibility form is the only page returned to the school office.