Edit, Download, and Sign the Florida Athletic Commission Eye Examination Form
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How do I fill this out?
To fill out this form, start by gathering the necessary personal information. Next, ensure that a qualified ophthalmologist or optometrist performs the examination. Lastly, accurately report any past medical history related to eye health.
How to fill out the Florida Athletic Commission Eye Examination Form?
1
Gather personal information such as name and birth date.
2
Have an ophthalmologist or optometrist examine your eyes.
3
Answer questions regarding previous eye diseases or injuries.
4
Document findings of the eye examination accurately.
5
Sign the form to certify the examination results.
Who needs the Florida Athletic Commission Eye Examination Form?
1
Professional fighters need this form to ensure their eye health meets safety standards.
2
Amateur athletes may require it for local competitions.
3
Promoters of combat sports events need to ensure all participants are medically fit.
4
Medical practitioners must complete this for their patients in combat sports.
5
Athletic commissions require this form to verify the eligibility of fighters.
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Use editing tools to modify text or fields as needed.
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Add notes or highlight important sections.
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Download the updated PDF to your device.
What are the instructions for submitting this form?
To submit this Eye Examination Form, complete it and ensure it is signed by your ophthalmologist or optometrist. You can fax it to the Florida Athletic Commission at 850.922.2249 or email it to FAC@myfloridalicense.com. For physical submissions, mail it to 2601 Blair Stone Road, Tallahassee, Florida 32399-1016. It is advisable to keep a copy for your records.
What are the important dates for this form in 2024 and 2025?
Important dates for the submission of this eye examination form may vary depending on state regulations. Generally, it should be submitted at least two weeks before any scheduled match or competition in 2024 and 2025. Check local competition guidelines for specific deadlines.
What is the purpose of this form?
The primary purpose of this eye examination form is to ensure the safety and well-being of athletes participating in contact sports. It provides critical information about the participant's eye health, allowing medical professionals to assess their eligibility. Additionally, it helps athletic commissions maintain compliance with health standards for combat sports.
Tell me about this form and its components and fields line-by-line.
- 1. Name: Full name of the participant including last, first, and middle names.
- 2. Age: The age of the participant.
- 3. Birth Date: The birth date in mm/dd/yyyy format.
- 4. Medical History: Questions about past eye diseases or injuries.
- 5. Vision Test Results: Vision assessment for both naked eye and with corrective lenses.
- 6. Certification: Certification section for the examining ophthalmologist or optometrist to validate the examination results.
What happens if I fail to submit this form?
If the eye examination form is not submitted, the participant may be deemed ineligible to compete in their scheduled match. Delays in submission can result in fines or disqualifications. It is essential to provide all required documentation ahead of competitions.
- Ineligibility: Failure to submit the form may lead to being disqualified from participation.
- Health Risks: Without proper medical examination, there may be undiscovered health risks.
- Regulatory Penalties: Athletic commissions may impose penalties for incomplete submissions.
How do I know when to use this form?
- 1. Combat Sports Registration: Required for entry into competitive events.
- 2. Medical Evaluations: Used by healthcare providers to assess eligibility.
- 3. Annual Health Checks: Needed for regular health assessments for fighters.
Frequently Asked Questions
Who needs to fill out this eye examination form?
Any fighter participating in boxing, kickboxing, or MMA is required to complete this eye examination form.
How do I edit this PDF?
You can click on the section you want to edit in PrintFriendly's editor and make the necessary changes.
Can I sign the PDF online?
Yes, PrintFriendly allows you to add your electronic signature directly to the document.
Is there a deadline for submitting this form?
Make sure to submit the completed form before your scheduled fight or competition.
What if I have a history of eye injuries?
You must disclose any past eye injuries on the form as it impacts your eligibility.
Where can I get this form?
You can download the Eye Examination Form directly from PrintFriendly.
What should I do if I don't know my medical history?
Consult with your healthcare provider to gather accurate medical history.
Can the form be filled out electronically?
Yes, it can be filled out using the PrintFriendly PDF editor.
Will I receive a copy of the completed form?
After editing and signing, you can download a copy of the completed form.
What happens if I submit an incomplete form?
An incomplete form may lead to delays in eligibility verification for your match.
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