The KSHSAA pre-participation physical exam form has been updated based on the most recent edition of the PPE: Preparticipation Physical Evaluation, 5th Edition publication. The updated edition was developed by the American Academy of Pediatrics and other supporting organizations.
We request schools begin using this new form which can be found at:
Medical Eligibility Page: This is the biggest change to be aware of regarding the new form. This is a new page at the end of the PPE paperwork that requires a second signature from the healthcare provider AND the parent/guardian. This page contains the student-athlete clearance, and parental consent for participation and emergency treatment. For a PPE to be valid when submitted to the school, healthcare providers are now required to sign two different places on the form (page 3 and page 4).
Healthcare providers must provide 2 signatures. Page 3 (physical exam page) and page 4 (medical eligibility page) both require the provider’s signature.
Parents/guardians must provide 3 signatures. Page 2 (health history page), page 4 (medical eligibility page) and page 5 (eligibility checklist).
We encourage all parents, students, and Grizzly supporters to please take a few minutes and watch this great video about sportsmanship. I would hope that all of us would strive to represent Northwest in the most positive light as our student-athletes compete to their best abilities. Thank you to the Connecticut Association of Athletic Directors for allowing us to use this site.