Iowa's boys' and girls' athletic associations share this four-page physical form, an annual exam valid for one calendar year. The student and parent complete the history, including a PHQ-4 screen, before the visit. The provider completes the physical exam on page 3 and the participation eligibility section on page 4, the page families can release to the school.
The medical provider completes the page 3 exam and page 4 participation eligibility and signs. The athlete and parent complete pages 1 and 2, and the parent signs the page 4 consent and adds shared emergency information.
Download the current version from the source each time; forms change without notice.
Student-Athlete Physical Form (Iowa Pre-Participation Physical Examination)
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.
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.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
The athlete and parent complete the history on pages 1 and 2 before the appointment. The medical provider completes the page 3 exam and page 4 eligibility and signs; Iowa allows licensed physicians, PAs, ARNPs and chiropractors to perform the exam.
Yes. The Iowa High School Athletic Association and the Iowa Girls High School Athletic Union use one shared form, posted on the IGHSAU health and safety page. A separate supplemental provider attestation covers 8th graders participating in high school athletics.
The physical is an annual requirement and is valid for one calendar year. A copy of the exam findings stays on record in the provider's office and can be made available to the school at the parents' request.