Sports Physical Form
Physical and concussion forms can be found in your school's activities office or by clicking this link. Completed physicals must be signed by a parent or guardian and uploaded into rSchools. No exam will be valid unless signed by a parent.
These are sports physicals and do NOT take the place of a comprehensive physical. No immunizations will be given.
Beginning July 1, 2019, sports physicals and concussion forms will need to be uploaded into a website called rSchools rather than being turned into the activities office. More information and instructions regarding uploading sports physicals will be forthcoming very soon.
The forms must be filled out and uploaded before a student can participate in athletics.
Iowa Concussion Legislation
Effective July 1, 2011, Iowa law requires that students in grades 7 – 12 who participate in extracurricular interscholastic activities, cheerleading and dance; and their parents/guardians; must sign a copy of the acknowledgement form found below and return it to their school.
Students cannot practice or compete in those activities until this form is signed and returned.
In addition, please note this important information from Iowa Code Section 280.13C, Brain Injury Policies:
- A child must be immediately removed from participation (practice or competition) if his/her coach or a contest official observes signs, symptoms, or behaviors consistent with a concussion or brain injury in an extracurricular interscholastic activity.
- A child may not participate again until a licensed health care provider trained in the evaluation and management of concussions and other brain injuries has evaluated him/her and the student has received written clearance from that person to return to participation.
- Key definitions:
- “Licensed health care provider” means a physician, physician assistant, chiropractor, advanced registered nurse practitioner, nurse, physical therapist, or athletic trainer licensed by a board.
- “Extracurricular interscholastic activity” means any extracurricular interscholastic activity, contest, or practice, including sports, dance, or cheerleading
Sports Physicals Offered Locally
Students participating in sport competitions are required to have a physical examination so the student may safely engage in athletic competition. An Iowa Athletic Pre-Participation Physical Examination Form and Concussion Form must be completed and returned to the Activities Office prior to any participation in athletics.
Walk-in sports physicals will be available at Naig Chirorpractic for $35 this summer at the below times. No appointment is necessary. Fee must be paid at the time of service and no insurance will be filed.
July 22, 2019 from 1:00-2:30pm
July 25, 2019 from 5:30-7:00pm
Naig Chiropractic is located at 225 SE Oralabor Rd., Suite #7, Ankeny, IA 50021.