ACV Medical Forms

  • The following forms are required for MEDICAL clearance to participate in athletics sponsored by the Allegheny-Clarion Valley High School.

    Only ONE copy of each form is required per PIAA school year (June 1 – May 31).

    PIAA CIPPE

    -Sections 1-7 are always required.
    -Section 8 is required for every subsequent sport participating in during the school year.
         -ex: Student participates in a Football and would need Section 8 to participate in Basketball and again another Section 8 for Baseball.
    -Section 9 is required for a subsequent sport following injury (or a change in medical history) in the previous sport.
         -ex: Student is injured in Volleyball and would need section 8 & 9 to participate in Basketball if student was treated by a MD or DO. Student would not need Section 9 to participate in spring sports following a healthy Basketball season.
    -Section 10 is required if participating in Wrestling.

    As a general rule of thumb, if your child visits the doctor (regardless of what for) please bring a note back to the school clearing your student for participation in sports

    ACV Concussion Forms
                -One copy required per student, per PIAA school year (June 1-May 31).

    ACV Consent to Treat Forms
                -One copy required per student, per PIAA school year (June 1-May 31).

    Helmet Release Forms
                -Required only for those students participating in Junior High or Varsity Football.

    ImPACT Test
                -Required to be completed at minimum every two (2) years unless a head injury is sustained.

     Student-Athletes who attend ACV and participate in PIAA sports not sponsored by ACV (i.e. Swimming & Diving, Soccer, Wrestling, etc.) are still required to complete the above forms  and return to the Athletic Trainer
.