Sports Physicals

sports physicals

FREE SPORTS PHYSICALS

Prior to students participating in any PIAA sport in the Middletown Area School District, students are required to complete a PIAA Comprehensive Initial Pre-Participation Physical Evaluation (CIPPE). The CIPPE form, sections 1, 2, 3, 4, 5, and 6 must be completely filled out and signed by the parent or guardian before the doctor will examine the student and fill out section 7. No student will be allowed to participate in athletics during the PIAA season without the entire 7-page CIPPE packet completed. In accordance with PIAA rules, physicals cannot be dated earlier than June 1, 2021 and will be effective for the entire school year, until May 31, 2022.

Sections 8 and 9: For subsequent sport(s) in the same school year: ANY ATHLETE having a CIPPE exam more than 6 weeks prior to the start of their sports season, must complete the Section 8 form, regardless of whether they played a sport in the previous season. In accordance with the PIAA, the medical staff at MASD will require any athletes with a significant change in their medical history since their initial exam, to have their physician complete the CIPPE Section 9 recertification form.

Any students considering playing a sport(s) for the upcoming 2021-2022 school year should attend a MASD free CIPPE exam on June 3, 2021 or August 5, 2021. Students not attending the free, MASD paid exam will be responsible for seeing their own family physician to have the exam completed.

Appointments: In order to minimize the wait time, we request that you please register online for an appointment time following the instructions below.

Free CIPPE Exams:
June 3, 2021: appointments begin at 6:00 p.m. in the MAHS gym
August 5, 2021: appointments begin at 6:00 p.m. in the MAHS gym

Athletes should sign up online for an appointment time for one of the dates listed above. Appointment times can be chosen up until the day before each physical date. To pick a time slot, go to www.ptcfast.com/reg1. When you are asked for an entry code enter 2Z51367135.

The CIPPE form is available in the Middle School and High School offices or can be found HERE. Students should bring the completed packet with them to their sports physical appointment.

Please contact the athletic trainer, Suzanne Bologa at sbologa@raiderweb.org with questions.

ATHLETIC PARTICIPATION FORMS

Athletes must also complete all sections of the Athletic Participation Packet and return the packet to Ms. Bologa.

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