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HIGH SCHOOL ASSOCIATION

GEORGIA DR. RALPH SWEARNGIN, Executive Director JOYCE KAY, Associate Executive Director GARY PHILLIPS, Assistant Executive Director STEVE FIGUEROA, Director of Media Relations DENNIS PAYNE, Associate Director ERNIE YARBROUGH, Associate Director BOX 271 151 S. BETHEL STREET THOMASTON, GA 30286-0004 TELEPHONE 706-647-7473 FAX 706-647-2638 HIGH SCHOOL ASSOCIATION MEMBER OF THE NATIONAL FEDERATION OF STATE HIGH SCHOOL ASSOCIATIONS TO: Whom It May Concern FROM: Georgia High SCHOOL ASSOCIATION DATE: August, 2011 RE: Pre-Participation physical evaluation .

Preparticipation Physical Evaluation HISTORY FORM (Note: This form is to be filled out by the patient and parent prior to seeing the physician.

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  Form, Evaluation, Physical, Preparticipation, Preparticipation physical evaluation

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