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KHSAA Middle School Sports Physical Form

Click here to access the Middle School Athletic Form.  More details about the form are below.

 

The middle school physical form is for any student participating in a middle school sport.  If a middle school student plays a high school sport and a middle school sport they will need to complete both KHSAA middle school form and the KHSAA high school form.   See below for questions and answers regarding middle school sports physicals.  

Physical Exams/Insurance
Will middle school students be required to have a physical exam?
Yes. Each student at the middle school level, prior to trying for a place on a middle school athletic team, shall provide an annual medical examination performed and signed by a physician, physician assistant, advanced practice registered nurse, or chiropractor (if performed within the chiropractic professional’s scope of practice), for each student seeking eligibility to participate in any school sport or sport-activity.

When does the requirement of the physical exam have to be completed on the middle school form?
Beginning the first day of the 2014-15 year, physicals will be required to be conducted and completed using middle school form MS01.

Is there a specific middle school physical form?
Yes. KHSAA Form MS01 is posted on the KHSAA website. Local schools/districts/associations/groups of schools may supplement that form with additional material but must use the MS01 for the physical examination.

If a student plays middle school and high school athletics, are both middle school (Form MS01) physical form and the high school (Form GE04) required?
Yes. Both forms are needed since wording is different. The information on the physical part from doctor is the same, but the parent permission/information forms are different and always will be for legal reasons. This part would have to be filled out separately for a student who played both middle and high school athletics. You could attach one to the other (if middle school form is completed, one could attach the doctor’s part of the middle school form to the high school form) as a grandfathered student, 7th or 8th grader, who plays up to the high school level.

Will the two forms eventually be combined for students that play both levels?
No. Information cannot be combined for regulatory and legal reasons. Parent permission information is completely different and entry portion (years in school, etc.) are not valid at middle school level.

Does this now require all students to get new physicals on the new form or when the physicals expire? Beginning the first day of the 2014-15 school year, no other form is valid. Beginning in 2014-15, physicals must be completed on Form MS01.

If we used the high school version of the physical part (doctor information), since we had been previously, could that be attached to the new form where the parent gives permission? No. MS01 is the only valid form for 2014-2015.

Does the 6th grade physical that is required suffice for the middle school athletics physical?
No. The 6th grade physical that is required in no way covers the same elements as an athletic physical. An entirely new physical form (MS01) would be required to be completed. It would be up to the approved individual that performed the physical if the requirements in MS01 required a new visit from the patient, or could be completed from existing patient records.

Are middle school participants required to have insurance up to any medical maximum?
No. There is no statewide middle school rule related to insurance minimum coverage, and the implementation of such a restriction or requirement would be a local level decision.

Does the KHSAA Catastrophic Insurance policy apply to middle school students playing solely middle school athletics?
No. This plan is solely provided to the dues paying member high schools, and covers only the students enrolled in those member schools participating within the restrictions of the KHSAA Handbook.