✅
Fitness & Sports
Athlete Medical Clearance
Submit or request sports medical clearance — athlete details, clearance type, physician info, and document upload.
Use this template11 fields · Free · Customize before publishing
What this form looks like
Preview · not interactiveAthlete Medical Clearance
Submit or request sports medical clearance — athlete details, clearance type, physician info, and document upload.
Athlete name*
Date of birth*
Pick a date📅
Parent / guardian email (if under 18)
Required for minors — athlete email if 18+.
Sport or activity*
e.g. varsity soccer, CrossFit, marathon training
Clearance details
Clearance type*
Annual sports physical
Return-to-play after injury
Pre-season screening
Examining physician name
Date of examination
Pick a date📅
Upload clearance form or letter*
⬆ Drop a file or click to upload
Signed form from your physician — PDF or clear photo.
Activity restrictions noted by physician (if any)
I confirm this document is current, authentic, and covers the activity listed above.*
I confirm this document is current, authentic, and covers the activity listed above.
Submit