Canada Hockey Player Medical Information sheet 2003-2024 free printable template

Hockey Canada medical form is an official document that must be completed and signed by a health care provider in order for a player to be eligible to participate in Hockey Canada sanctioned activities. The form contains information about the player’s medical history and any conditions or medications that may affect their ability to participate. The form must be signed by both the player and their health care provider in order to be valid.

The Hockey Canada Medical Form must include the following information: 1. Name of player 2. Date of birth 3. Address 4. Phone number 5. Name and address of family doctor 6. Previous medical history 7. Current medications 8. Any allergies 9. Parent/guardian signature 10. Date of last physical exam 11. Immunization history 12. Any existing physical disabilities 13. Authorization for staff to administer emergency medical aid and/or seek medical attention in case of an emergency 14. Signature of medical doctor or nurse practitioner 15. Date of signature.

Hockey Canada does not require a medical form for participation in the sport. However, if a team or association has a requirement to provide proof of medical insurance coverage, the deadline for submission of the form will depend on the specific team or association.

The penalty for the late filing of a Hockey Canada medical form is a $20 fine.

According to Hockey Canada's regulations, any individual participating in a sanctioned hockey activity must complete and submit a medical form. This applies to players, coaches, trainers, team officials, referees, and other individuals involved in the sport. The purpose of the form is to ensure the health and safety of all participants.

To fill out the Hockey Canada medical form, follow these steps: 1. Download the form: Visit the Hockey Canada website or the website of your specific hockey association to find and download the medical form. It is usually available in PDF format. 2. Read the instructions: Before filling out the form, read the accompanying instructions carefully. Understand the requirements and the information being sought. 3. Personal information: Provide your personal details, including your full name, date of birth, address, phone number, and email address. 4. Consent: Sign and date the section that grants consent for medical treatment, if necessary. 5. Medical history: Provide your medical history, including any previous injuries, surgeries, or medical conditions. Answer all questions truthfully and accurately. Leave no blanks unless requested. 6. Medications: List any medications you are currently taking or have taken recently. Include the dosage and frequency of use. 7. Allergies: Declare any known allergies, whether they are food, medication, or environmental allergies. 8. Emergency contact: List the name, relationship, phone number, and address of your emergency contact person. 9. Parent/Guardian signatures: If the player is under 18 years old, a parent or guardian must sign and date the form. 10. Physical examination: Some medical forms may require a physical examination section to be completed by a healthcare professional. If this is the case, schedule an appointment with your physician, who will complete the necessary examination and documentation. 11. Review and submit: Once you have filled out the form completely and accurately, review it one final time to ensure accuracy. Make a copy for your records and submit the original form to the appropriate hockey association or team as instructed. Remember, it's important to provide honest and accurate information on the medical form to ensure that appropriate care can be provided in case of any injuries or emergencies on the ice.

The purpose of the Hockey Canada medical form is to ensure the safety and well-being of hockey players by collecting important medical information. This form is typically filled out by players and their parents or guardians prior to participating in any hockey activities sanctioned by Hockey Canada. The medical form collects information such as the player's medical history, any known allergies or medical conditions, and emergency contact information. This information is crucial for coaches, trainers, and medical personnel to be aware of any potential health risks or specific care needs that a player may have. It helps in providing appropriate medical attention in case of injuries, allergies, or other medical emergencies that may occur during hockey activities. By providing a comprehensive medical record, the Hockey Canada medical form helps ensure that players receive the necessary medical care and attention they need, reducing the risk of complications or further injuries. It also helps provide peace of mind to players, parents, and coaches, knowing that all relevant medical information is readily available.

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