Please complete ALL 3 steps:

1. “Preparticipation Physical Evaluation” (4 pages)

• Medical Eligibility Form

• MUST be completed by a licensed MD, PA, DO or Surgeon

• MUST have physician signature AND office stamp

• Kaiser physical forms are accepted

2. Go to athleticclearance.com

Complete ALL 5 sections

• Medical Insurance coverage is REQUIRED

• If needed, information is available in the Front Office or go to https://myers-stevens.com/enrollment-page/

• For those students without an ID number, please enter  0000

• Choose “La Habra” from the list and “2024-2025” as the school year

• Once completed, please print the “Confirmation Page” and sign

3. Scan the Medical Eligibility Form (1 Page) and the SIGNED Confirmation Page to the website. (Please see below)