Excerpt from Michigan High School Athletics Association:

“Physical Exams – Prior to participation in a tryout or practice every student must submit a statement from an MD, DO, Nurse Practitioner or Physicians Assistant that they are physically able to compete in athletic tryouts, practices and contests and also provide consent to disclosure of information otherwise prohibited by HIPAA and FERPA laws. These statements must be on file in the appropriate school office and must be for the current school year, not necessarily in conjunction with the insurance year. The earliest date that a physical can be dated for use in the coming school year is the previous April 15.”