Florida Statute 1006.20 and FHSAA Bylaw 9.7 require a preparticipation physical evaluation each year before a student competes, practices, tries out or conditions with a school team. The EL2 is the FHSAA's four-page version: a two-page medical history, a physical examination page and a medical eligibility page. Only the eligibility page goes to the school, and the form is valid for 365 calendar days from the exam date.
The student and parent complete and sign the medical history on pages 1 and 2 and the student details on page 4. The healthcare professional reviews the history, completes and initials the examination on page 3, records the eligibility decision on page 4 with credentials and license number, and fills in the shared emergency information with the parent.
The student and parent print the student's details, school, grade and sports, parent and emergency contacts, and the family healthcare provider. They then list past and current medical conditions, surgeries with dates, all prescription and over-the-counter medicines and supplements, and allergies. The page header notes that this history is retained by the healthcare provider and/or parent rather than sent to the school.
Four items ask how often in the past two weeks the student felt nervous or on edge, could not stop worrying, had little interest in doing things, or felt down or hopeless, each scored 0 to 3. The clinician reviews the answers during the visit along with the sensitive-issue questions on page 3.
Questions 1 to 3 cover concerns to discuss, past sports restrictions and ongoing issues. Questions 4 to 10 ask about fainting, chest discomfort, racing or skipped beats during exercise, known heart problems, prior heart tests such as ECG or echo, light-headedness and seizures. Questions 11 to 13 ask about family sudden death before age 35, inherited heart conditions such as HCM, long QT or Brugada syndrome, and pacemakers or defibrillators before 35. Unknown answers are circled and yes answers explained.
These ask about stress fractures and injuries, asthma or exercise breathing problems, missing organs, groin pain or hernia, recurring rashes including herpes or MRSA, concussion, numbness after a hit, heat illness, sickle cell trait or disease, vision, weight concerns, special diets and eating disorders. Yes answers are explained in the box. The student and parent sign an acknowledgment that their answers are correct and that the student is advised to have a cardiovascular assessment, which may include ECG, echo or stress testing.
Reminders suggest sensitive questions on stress, mood, home safety, tobacco, alcohol and drugs, steroids, supplements and low energy. Verify that pages 1 and 2 are complete, review the cardiovascular questions 4 to 13, and check the box confirming it. Record height, weight, blood pressure, pulse, and vision with or without correction.
Mark each item normal or abnormal with findings and initial it: appearance including Marfan stigmata, eyes, ears, nose and throat with pupils and hearing, lymph nodes, heart murmurs standing, supine and with Valsalva, lungs, abdomen, skin for HSV, MRSA or tinea corporis, and neurological. The musculoskeletal grid runs from neck to foot and toes plus functional tests: double-leg squat, single-leg squat and box or step drop. Then sign with date of exam, credentials and license number.
Completed at the time of assessment by the practitioner and parent. Check the box if there is no relevant history, or list medications and check the history the athletic trainer or team physician should review: allergies, asthma, cardiac, concussion, diabetes, heat illness, orthopedic, surgical history, sickle cell trait or other, with an explanation. A provider stamp goes here if the school requires one. The student and parent sign this part.
Check one option: eligible for all sports without restriction, eligible after clearance by a medical specialist for a named condition (documented on Form EL1/2S), eligible only for listed sports, or not eligible for any sports. Add recommendations. The certification under s. 1006.20(2)(c), F.S. confirms your Florida licensure or active equivalent licensure in the state of the exam and that you or a supervised clinician examined the student using the EL2. Sign with name, date of exam, address, phone, credentials and license number.
Download the current version from the source each time; forms change without notice.
Preparticipation Physical Evaluation (EL2 Physical Form)
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Sources for this guide
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The page 4 certification is signed by a practitioner licensed under Florida chapter 458, 459 or 460 or section 464.012, or registered under section 464.0123, in good standing, or holding active equivalent licensure in the state where the exam took place. The exam may be done by that practitioner or a clinician under their direct supervision, and the signer adds credentials and license number.
The EL2 is valid for 365 calendar days from the date of the exam. Florida law requires the evaluation each year before a student competes or takes part in any practice, tryout, workout, conditioning or other physical activity with a school team, including activities outside the school year.
Only page 4, the medical eligibility form, which is marked to be submitted to the school. Pages 1 to 3, the medical history and physical examination, are retained by the healthcare provider and/or parent. In the page 4 certification the practitioner states a copy of the exam has been kept and the parent can access it on request.
Yes. The FHSAA removed page 5 in the 02/24/26 revision, but the first four pages did not change, so the previous version can still be used. Follow-up clearances that the old page 5 handled now go on the separate EL1/2S Medical Eligibility Supplemental Form.