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May 2025
TO: PARENTS OF MHSA SPORTS PARTICIPANTS
LICENSED MEDICAL PROFESSIONALS
FROM: BRIAN MICHELOTTI, EXECUTIVE DIRECTOR
RE: UPDATED MHSA PRE-PARTICIPATION PHYSICAL EXAM FORM
Article II, Section (3) of the MHSA Handbook requires that a physical exam must be completed for a student to be considered eligible for participation in an Association contest. Physical exams must be completed prior to the first practice. This examination must be certified by a licensed medical professional acting within the scope and limitations of his/her practice. Physical examinations conducted May 1 and thereafter are valid for the following two school years; Physical examinations conducted prior to May 1 are valid only for the remainder of that school year and the following school year. An interim history form is required during the off years when no physical examination is conducted and must be submitted to the school prior to the first practice. All 9th graders must have a physical after May 1st of the year they enter high school, regardless of whether they had one in 8th grade.
This MHSA pre-participation form is the only form that will be allowed for the student’s exam (no other forms will be accepted). The following process should be followed:
· Parent(s)/legal guardian(s) and their student will fill out the History portion of the form together.
· The student and parent/guardian will sign the form.
· A medical provider will review the form with the student and parent/guardian and perform the exam. A signature from the medical provider is required to clear the student for participation.
· The completed MHSA Pre-participation Physical Exam form will be given to the appropriate school administrator.
The MHSA is committed to the safety and health of our student activity participants and believes this new form will facilitate that objective. For further information, the MHSA position statement on two-year PPEs is available on the MHSA website at www.mhsa.org.
If you have any questions regarding the updated pre-participation examination form, please contact me or the MHSA sports medicine liaison, Greta Buehler.