2013/2014 MSHSL Sports Health Questionnaire

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Choose "Yes" or "No" for each question.

Athletic/Activity Director Notes: (a YES answer to any of the questions below requires a clearance note from a physician prior to participation.)

IN THE LAST YEAR, since your last complete Sports Qualifying Physical Exam with your physician or your Year 2 Annual Health Questionnaire, HAVE YOU HAD ANY CHANGES TO THE FOLLOWING QUESTIONS:

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Hibbing Public Schools
800 East 21st Street
Hibbing, MN 55746

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Office Phone: (218) 208-0848
Superintendent of Schools: Mr. Richard Aldrich
Hibbing Public Schools,
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