Physical Form

MSHSAA 3.8 PHYSICAL EXAMS AND INSURANCE 3.8.1 Physical: The school shall require of each student participating in athletics a certificate of an issued physical signed and authorized by a physician, advanced nurse practitioner in written collaborative practice with a physician, or a certified physician’s assistant in collaboration with a sponsoring physician stating that the individual is physically able to participate in athletic practices and contests of his/her school. A student shall not be permitted to practice or compete for a school until a complete, signed certificate is on file at the school. The medical certificate is valid for the purpose of this rule if issued on or after February 1 of the previous school year. 3.8.2 Insurance: A student shall not be permitted to practice or compete for a school until it has verification that he or she has basic athletic insurance coverage. Physical Exams and Insurance Questions & Answers: Q1: May a physical for athletic participation be administered and signed by a) a physician’s assistant or b) a registered nurse? A1: Both a) and b) No. In order for a nurse or physician’s assistant to be allowed to certify an athletic physical he/she must be either an advanced nurse practitioner in a written collaborative practice with a physician or a physician’s assistant in a written collaborative practice with a physician. Q2: Many of our students will be receiving their physicals by a certified physician’s assistant in a written collaborative practice with a physician. The physician’s assistant will have his/her signature on the physical form. Is it necessary for the physician to also have signed the physical form? A2: No. The physician is not required to sign each form. However, it is required that the physician’s name be listed in some manner on the physical form in order to be valid. This confirms the existence of the written collaborative practice of the physician and the certified physician’s assistant. This same procedure is required for an advanced nurse practitioner in a similar collaborative practice. Q3: A junior in our school was issued a physical on January 22 of this school year. Will this physical still be valid for the spring sports season of her senior year? A3: No. Physicals issued prior to February 1 are valid only for the current school year. Physicals issued after February 1, of a given school year, are valid for the remainder of the current school year and all of the ensuing school year. Before a student can participate in athletics he/she must have completed physical form on file. This form must be completely filled out and signed by all parties to include the student and parent where applicable. Students must have health insurance to participate. The name of the company and policy number must be completed in this form. If you need to purchase a policy for your child you can go to: http://laquey.k12.mo.us/insurance.html You will also need to have received the MSHSAA Concussion Materials. That link can be found below.

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Concussion Materials

In the physical form there is a section where the student and parent signs off that they have received the concussion materials. This is that document! There is nothing to return unless your child has recently had a concussion.

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MSHSAA Eligibility Information

This is a pamphlet about MSHSAA Eligibility Guidelines.

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