Medical Forms

DIAA Pre-participation Physical Exam (PPE)

The DIAA Sports Medicine Advisory Committee (DSMAC) has approved updates to the Pre-participation Physical Examination (PPE) Medical Form for the 2026–2027 school year.
As the Delaware Interscholastic Athletic Association (DIAA) transitions to electronic medical consent forms and digital submission, DSMAC has implemented a few changes to streamline the medical clearance process for student-athletes participating in interscholastic athletics.
Key Updates Include:
  • The History Form (page 3) and the recommended Physical Examination Form (page 4) will now remain on file with the student-athlete’s Primary Care Practitioner (PCP). These forms will no longer be submitted directly to DIAA or member schools.
  • Student-athletes will only be required to submit the updated School Athlete Medical Card (page 5), which now includes a designated section for the PCP to provide clearance and participation recommendations.
  • Parent/Guardian/Student Consent Forms (page 2) will transition to digital consent forms for Fall 2026. If your school is not using RankOne for physicals, you must submit page 2 with page 5 to your school.
For first year school enterers (1st year of Middle school and High school), medical practitioner’s will still need to complete the Department of Education recommended paperwork which includes additional screening and vaccination information.
DSMAC has developed a Preparticipation Physical Examination (PPE) FAQs and Essential Information resource to assist families in understanding the updated process and requirements.

25-26 DIAA Pre-participation Physical Examination (PPE)

Note: The PPE form dated 7/2024 remains valid for the 2025-2026 school year. There are no changes to the form.

2025-26 Athletic Physical and Consent Forms (Spanish)

2025-26 Athletic Physical and Consent Forms (Haitian Creole)

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 School Athlete Medical Card (page 5), a section has been added for the PCP to provide clearance and participation recommendations.
  • 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.
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