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Sports Physical Clearance Form

2 pages•14 fields
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Sports Physical Clearance Form

Page 1 of 2

Athlete Full Name
Jane Martinez
Date of Birth
03/15/1985
Sport and Position
Parent/Guardian Name
Jane Martinez
Parent/Guardian Phone
(555) 867-5309
Cardiac Symptom Screening
Enter details here...
Family Cardiac History
Enter details here...
Concussion History
Enter details here...
Prior Musculoskeletal Injuries
Enter details here...
Current Medications
Musculoskeletal Screening
Enter details here...
Risk Acknowledgment
Enter details here...
Clearance Determination
Enter details here...
Provider Signature
Sign here
Submit
Use this template

Sign up and start customizing in minutes.

Start with the Sports Physical Clearance Form template and tailor it to your practice. It includes 14 editable fields across 2 pages. Included questions: Athlete Full Name, Date of Birth, Sport and Position, Parent/Guardian Name. The full field list below shows what you will get when you add this template to your account.

Choose this template to open an editable form. Review the questions, keep only the information your practice needs, and add your branding. Preview the patient experience before sharing a link or embedding the form. Responses can be reviewed in Formisoft and exported as a PDF.

What's included

  • Athlete Full Name
  • Date of Birth
  • Sport and Position
  • Parent/Guardian Name
  • Parent/Guardian Phone
  • Cardiac Symptom Screening
  • Family Cardiac History
  • Concussion History
  • Prior Musculoskeletal Injuries
  • Current Medications
  • Musculoskeletal Screening
  • Risk Acknowledgment
  • Clearance Determination
  • Provider Signature

Who uses this template

  • Pre-season athletic clearance for high school and college sports
  • Sports medicine clinic pre-participation evaluations
  • Return-to-play clearance after injury or concussion
  • Youth recreational league physical requirement compliance

All form fields

14 fields across 2 pages. Customize any field after signing up.

Athlete Full NameText
Date of BirthDate
Sport and PositionText
Parent/Guardian NameText
Parent/Guardian PhonePhone
Cardiac Symptom ScreeningLong Text
Family Cardiac HistoryLong Text
Concussion HistoryLong Text
Prior Musculoskeletal InjuriesLong Text
Current MedicationsMedications
Musculoskeletal ScreeningLong Text
Risk AcknowledgmentLong Text
Clearance DeterminationLong Text
Provider SignatureE-Signature

How to use the Sports Physical Clearance Form

Getting started with this template takes just a few minutes. Sign up for a Formisoft trial, then select the Sports Physical Clearance Form from the template library. Review the included questions, customize your fields, and preview the form before sharing it.

Setup steps

  1. 1Choose the template. Find the Sports Physical Clearance Form in the template library and click “Use this template” to add it to your account.
  2. 2Customize fields. Add, remove, or reorder any of the 14 fields. Set fields as required or optional based on your practice needs.
  3. 3Brand it. Upload your logo, pick your colors, and add a custom welcome message so patients see your practice identity.
  4. 4Share with patients. Send the form via SMS, email, or embed it on your website. Patients complete it on any device before their visit.
  5. 5Review submissions. Responses appear in your dashboard in real time. Patient records are created automatically from the data collected.

Frequently asked questions

How does Formisoft protect responses?

Formisoft provides secure form collection and a Business Associate Agreement (BAA). Your practice must review the form content, access permissions, and sharing workflow for its requirements.

Can I customize the fields in this template?

Absolutely. You can add, remove, reorder, or modify any of the 14 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

How do patients fill out this form?

Patients receive a link via SMS, email, or QR code. They complete the form on their phone, tablet, or computer before their appointment. No app download required.

Can I send this form automatically before appointments?

With a plan that includes automation, you can configure workflows to send forms and reminders. Appointment-based sending requires the booking event to reach Formisoft.

Does this template work on mobile devices?

Yes. The Sports Physical Clearance Form is fully responsive and works on any device. Most patients complete intake forms on their phone, so every template is optimized for mobile-first use.

Start with this template

Sign up and start customizing the Sports Physical Clearance Form for your practice. Set up in minutes.

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