Sports Screening Forms
download the MHSAA sports physical form below.
Visit With Healthcare Provider | Well Child | Sports |
|---|---|---|
| Annual Physical / Systems Review (Used as screening device to uncover or diagnose any present illness or disease and to assess sports readiness.) -skin (rashes, hives, -moles, hair) -eyes (vision) -ears (hearing) -nose (sinuses) -throat, mouth, teeth -cardio-respiratory (hearts, lungs) -stomach/intestines (nausea, vommiting, stools) -neuromuscular reflexes -endocrine system (throats, glands) -general weight ( fatigue, pubesence) -height | * *complete review | * *review limited to only joints, muscles, hearts, lungs, height, weight. |
| Annual developmental & Risk Assessments (i.e., ages and stages questionaire) | ||
| Parent & Child-Appropriate Education Regarding Health & safety Issues (i.e., helmet & protective gear, injury prevention.) | ||
| Parent & Child-Appropriate Education Regarding Nutrition & Physical Fitness | ||
| Growth & development tracking (i.e., height, weight, BMI on growth chart.) | ||
| Behavioral & emotional Concerns Guidance (as applicable) | ||
| Education & Learning Concerns Guidance (as applicable) | ||
| Tobacco Use Screening | ||
| Depression Screening | ||
| Vision Screening | ||
| Cholesterol Screening (if at risk) | ||
| Immunization Assessment | ||
| Length of Visit | 30-45 Mins | 15 Mins |