Table of Contents
Sports Physical Form
Use these forms for every sports physical. Have the patient or guardian complete the history page, first page, then review it with patient and scan it into the system.
Sports Physical Forms (Page1 History for everyone, page2, history for disabled, page3 physical exam form, page4 clearance form). Source, here. | Sports Physical Exam Form with Clearance at the bottom
Alternative
Sports Physical Exam Form ( From Oregon School Activities Association, OSAA. Website: www.osaa.org.). This gives guides the physician through the physical examination as well as having a good history form.
Instructions to MD for doing the physical exams, Click here: Preparticipation Physical Exam Instructions
“Although a brief standardized orthopedic screening is adequate in asymptomatic athletes (see http://www.aafp.org/afp/2000/0501/p2696.html), a more focused physical examination is necessary for persons with a history of musculoskeletal injury” AAFP
** A sports Physical Exam is a comprehensive exam like any other that is age appropriate with a little bit of emphasis on sports participation. Otherwise, it is no different from any other wellness exam.
Do a complete H&P with HEADDSSS Assesment as the social history part.
HEADDRESS adolescent interviewing
Plot height, weight, BMI.
Remember that even though many of these patients are teenagers, they are still pediatric patients. Plot height, weight, BMI. You must plot it on the appropriate growth chart. It’s worthless to simply write height, weight, and BMI for a child or teenager without plotting it to see where they fall compared to peers.
Immunizations
– Check the records
– Make sure they have tetanus & Meningococcus. Also HPV prevention. They need to get any vaccines that they lack.
– Flu vaccine for indoor sports participants.
Physical:
General head to toe exam that is appropriate for age with all of the parts you would ordinarily give attention to.
– Gynecologic exam
– Tanner staging
– Hernia check
should not be forgotten.
Heart: Usual exam plus check for idiopathic hypertrophic subaortic stenosis (IHSS). Have patient sit on exam bed and lean forward while you listen to his heart. Next, have him get down and squat and listen to his heart.
Do the 5-minute orthopedic assessment.
Check for scoliosis
Give appropriate anticipatory guidance regarding common injuries.