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Medical Forms

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