{"id":6079,"date":"2021-08-18T18:59:59","date_gmt":"2021-08-18T18:59:59","guid":{"rendered":"https:\/\/education.delaware.gov\/diaa\/medical_forms_for_parents\/"},"modified":"2024-04-01T14:29:38","modified_gmt":"2024-04-01T18:29:38","slug":"medical_forms_for_parents","status":"publish","type":"page","link":"https:\/\/education.delaware.gov\/diaa\/health_and_safety\/medical_forms\/","title":{"rendered":"Medical Forms for Parents"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:calc( 100% + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\" style=\"--awb-text-transform:none;\"><h2><span style=\"font-size: 14pt\"><span style=\"color: #ff0000\"><strong>Updated (4\/1\/2024)<\/strong><\/span>\u00a0<a href=\"https:\/\/education.delaware.gov\/diaa\/wp-content\/uploads\/sites\/2\/2024\/04\/DIAA-PPE2024-2025.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #0000ff\">DIAA 2024-2025 PPE Form<\/span><\/a>\u2013 This is a seven (7) page document. All pages are necessary.<\/span><\/h2>\n<div class=\"content_text\">\n<h3><span style=\"font-size: 12pt\">PPE Guidelines:<\/span><\/h3>\n<p>The DIAA pre-participation physical evaluation and consent form consists of seven pages. Pages two, three and five require a parent\u2019s signature while pages six and seven are references for the parent and student athlete to keep. Page four requires the exam date and physician\u2019s signature and page five requires the clearance to participate date and physician\u2019s signature. 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 June 30 of the following school year unless a re-examination is required.<\/p>\n<ul>\n<li>Please refer to COVID information from <a href=\"https:\/\/www.cdc.gov\/\" target=\"_blank\" rel=\"noopener\">Center for Disease Control and Prevention (CDC)<\/a> and <a href=\"https:\/\/www.dhss.delaware.gov\/dhss\/dph\/index.html\" target=\"_blank\" rel=\"noopener\">Delaware Department of Public Health (DPH)<\/a> for latest health and safety information.<\/li>\n<li>On the history form (page 3), all questions should be answered based on complete medical history (not just in the last<br \/>\nyear).<\/li>\n<li>On the physical form (page 4), a section for date of clearance has been added next to the \u201csignature of health care<br \/>\nprofessional\u201d. The date the forms are filled out does not have to be the same day that the physical was performed. See<br \/>\nabove for timing of physical.<\/li>\n<li>The date the forms are filled out does not have to be the same day that the physical was performed. See above for timing<br \/>\nof physical.<\/li>\n<\/ul>\n<h3><span style=\"font-size: 12pt\"><strong>Pages which require a parent\u2019s signature: Pages two (2), three (3) and five (5)<\/strong><\/span><\/h3>\n<p><a href=\"https:\/\/education.delaware.gov\/diaa\/wp-content\/uploads\/sites\/2\/2022\/03\/Spanish-DIAA-2022-23-Preparticipation-Physical-Form-Packet-3-3-22.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #0000ff\"><strong>PPE Spanish version<\/strong><\/span><\/a><\/p>\n<p><a href=\"https:\/\/education.delaware.gov\/diaa\/wp-content\/uploads\/sites\/2\/2022\/03\/Haitian-Creole-Verision-DIAA-2022-23-Preparticipation-Physical-Form-Packet-3-3-22.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #0000ff\"><strong>PPE Haitian Creole version<\/strong><\/span><\/a><\/p>\n<hr \/>\n<p>Approval to play with a\u00a0<a href=\"https:\/\/education.delaware.gov\/diaa\/wp-content\/uploads\/sites\/2\/2021\/06\/hard_cast_writable.pdf\">Hard Cast<\/a><\/p>\n<p>Release to participate with\u00a0<a href=\"https:\/\/education.delaware.gov\/diaa\/wp-content\/uploads\/sites\/2\/2021\/06\/skin_lesion_writable.pdf\">Skin Lesion<\/a><\/p>\n<p>NFHS\u00a0<a href=\"https:\/\/education.delaware.gov\/diaa\/wp-content\/uploads\/sites\/2\/2021\/06\/skin_regulation.pdf\">Skin Treatment Regulation<\/a><\/p>\n<p>Physician Clearance for\u00a0<a href=\"https:\/\/education.delaware.gov\/diaa\/wp-content\/uploads\/sites\/2\/2021\/12\/Physician-Release-For-Wrestler-to-Participate-Less-than-7_Sept-2020.pdf\" target=\"_blank\" rel=\"noopener\">Body Fat Allowance<\/a>\u00a0\u2013 wrestling<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":1363,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"protect_children":false,"footnotes":""},"class_list":["post-6079","page","type-page","status-publish","hentry"],"acf":[],"checksum":["e14c6c29ddd33ac632331e431bc71d232f123dee"],"sw_mod_date":["2021-08-17"],"_links":{"self":[{"href":"https:\/\/education.delaware.gov\/diaa\/wp-json\/wp\/v2\/pages\/6079","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/education.delaware.gov\/diaa\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/education.delaware.gov\/diaa\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/education.delaware.gov\/diaa\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/education.delaware.gov\/diaa\/wp-json\/wp\/v2\/comments?post=6079"}],"version-history":[{"count":0,"href":"https:\/\/education.delaware.gov\/diaa\/wp-json\/wp\/v2\/pages\/6079\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/education.delaware.gov\/diaa\/wp-json\/wp\/v2\/pages\/1363"}],"wp:attachment":[{"href":"https:\/\/education.delaware.gov\/diaa\/wp-json\/wp\/v2\/media?parent=6079"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}