Medical Forms
2024-25 Athletic Physical and Consent Forms Packet (updated (7/2/24):
Please note: The only change made to this most recent PPE appears at the bottom of page 5, and allows the Emergency Contact Form to be valid through the summer, until the first date of fall practice. See below screenshot.
2024-25 Athletic Physical and Consent Forms (Spanish)
2024-25 Athletic Physical and Consent Forms (Haitian Creole)
This is a seven (7) page document. All pages are necessary.
PPE Guidelines:
The DIAA pre-participation physical evaluation and consent form consists of seven pages. Pages two, three and five require a parent’s signature while pages six and seven are references for the parent and student athlete to keep. Page four requires the exam date and physician’s signature and page five requires the clearance to participate date and signature by a qualified healthcare professional (QHP). A QHP now includes RN/ATC. The student must be cleared to participate on or after April 1 based on a physical examination conducted within 12 months of the signature. The clearance is valid through the first day of fall practice of the following school year unless a re-examination is required.
- Please refer to COVID information from Center for Disease Control and Prevention (CDC) and Delaware Department of Public Health (DPH) for latest health and safety information.
- On the history form (page 3), all questions should be answered based on complete medical history (not just in the last
year). - On the physical form (page 4), a section for date of clearance has been added next to the “signature of health care
professional”. The date the forms are filled out does not have to be the same day that the physical was performed. See
above for timing of physical. - The date the forms are filled out does not have to be the same day that the physical was performed. See above for timing
of physical.
Pages which require a parent’s signature: Pages two (2), three (3) and five (5)
Approval to play with a Hard Cast
Release to participate with Skin Lesion
NFHS Skin Treatment Regulation
Physician Clearance for Body Fat Allowance – wrestling