pawAccident Insurance Policy 

 
    
paw PIAA Physical Form - Revised April 28, 2016
         (This is the process for your own doctor physical)
         PIAA Sections 1, 2, 3, 4  and 5 to be completed by parent/guardian
         PIAA Section 6 to be completed by your own physician
 
         Pleasant Valley School District Physical Form - Part II - Revised August 25, 2016
        (This is the process for a Pleasant Valley School physical)
        Part I
        PIAA, Sections 1, 2, 3, 4 and 5 to be completed by parent/guardian
        Part II
        Page 1-  parent/guardian to sign
        Page 2 - PIAA Section 6- Pleasant Valley School Physical  
        Part I and Part II - bring all forms with you to school physicals 
 
paw PIAA Re-Certification - Section 7 - Revised March 19, 2015
         (This is the process for re-certification and/or not injured)
         This form is to be completed if you played a prior sport in the
         same school year.   
 
paw PIAA Re-Certification - Section 8 - Revised March 19, 2015
          Re-Certification by Licensed Physician of Medicine or Osteopathic Medicine.
          This form is to be completed if you were seen by athletic trainer.
 
 
    
Last Modified on November 15, 2016
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