Utah High School Activities Association members require an annual pre-participation physical, on file with the Disclosure and Consent Document, before a student joins any athletic activity. Form A, updated April 18, 2023, contains instructions, the parent and student consent, a medical history and the physical examination page the provider completes.
The parent and student complete the health history and sign the disclosure and consent document. An MD, DO, PA-C, registered nurse practitioner or Doctor of Chiropractic examines the student, selects one participation recommendation and signs, acknowledging board certification.
Download the current version from the source each time; forms change without notice.
Pre-Participation Health Examination Form (Physical Form A)
Forma Fisica (Requerido Anualmente)
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An MD, DO, physician assistant (PA-C), registered nurse practitioner or Doctor of Chiropractic working within their legal scope. Since March 10, 2025, UHSAA also requires board certification in the provider's discipline, and the signature acknowledges current maintenance of certification.
Form A must be completed every school year, before any tryout, practice or athletic contest, and not before March 10 of the previous school year. The form and the Disclosure and Consent Document must be on file at the school before participation.
Yes. UHSAA posts a Spanish version titled Forma Fisica (Requerido Anualmente) on its forms page next to the English Form A. UHSAA does not provide printed copies, so families print the form themselves.