Lakewood Park Athletics

Physical Form

Per IHSAA guidelines, please note:

  • The Physical Form may now be signed by a Physician’s Assistant (PA) or a Nurse Practitioner (NP) in addition to a physician (MD or DO). The form must be signed after the medical history has been reviewed, the examination performed, and the form completed in its entirety. No pre-signed or pre-stamped forms will be accepted.
  • The medical professional’s signature must be hand-written. No signature stamps will be accepted.
  • The medical professional’s signature and license number must be affixed on page 2.
  • The parent and student-athlete signatures must be affixed to pages 1 and 4.
  • The physical examination must be conducted on or after April 1 to be valid for the following school year. 
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