This application serves as the PIAA Comprehensive Initial Pre-Participation Physical Evaluation (CIPPE).
INITIAL EVALUATION: Prior to any student participating in Practices, Inter-School Practices, Scrimmages, and/or Contests, at any PIAA member school in any school year, the student is required to (1) complete a Comprehensive Initial Pre-Participation Physical Evaluation (CIPPE); and (2) have the appropriate person(s) complete the first six Sections of the CIPPE form. Upon completion of Sections 1 and 2 by the parent/guardians; Sections 3, 4, and 5 by the student and parent/guardian; and Section 6 by an Authorized Medical Examiner (AME), those Sections must be turned into the Principal, or the Principal's designee, of the student's school for retention by the school. The CIPPE may not be authorized earlier than June 1st and shall be effective, regardless of when performed during a school year, until the latter of the next May 31st or the conclusion of the spring sports season.
SUBSEQUENT SPORT(S) IN THE SAME SCHOOL YEAR: Following completion of the CIPPE, the same student seeking to participate in Practices, Inter-School Practices, Scrimmages, and/or Contests in subsequent sport(s) in the same school year, must complete Section 7 of this form and must turn in that Section to the Principal, or Principal's designee, of his or her school. The Principal, or Principal's designee, will then determine if a Section 8 need be completed.
PLEASE NOTE: FOR THE FIRST SPORT IN A SCHOOL YEAR, A COMPLETED SECTION 6 MUST BE UPLOADED BELOW UNDER THE "PHYSICIANS" HEADER. FOR ALL SUBSEQUENT SEASONS THE SECTION 6 DOES NOT NEED TO BE RE-UPLOADED, BUT YOU MUST VERIFY THE INFORMATION IS CORRECT AND AGREE TO THE PIAA AGREEMENTS BELOW.
PLEASE NOTE: IF A SECTION 8 IS REQUIRED, IT MUST BE TURNED IN TO THE ATHLETIC TRAINER OR ATHLETICS OFFICE.