Health and Safety

NOTE ABOUT PRE-PARTICIPATION FORM (Physical Examination Form): Due to the extraordinary circumstances created by the COVID-19 pandemic resulting in school closures, a one year emergency addition to the State Board of Education Policy, ATHL-001, Interscholastic Athletics, has been approved by the State Board of Education on April 23, 2020.

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Date of Current Physical

Requirement for 2020-2021

Prior to 03/01/19 Need valid, up-to-date physical prior to participating.
On or after 03/01/19 through 05/01/20 Granted a temporary extension to participate through the end of the 2020-2021 academic year.
On or after 05/02/20 Will participate based on the current policy of being “valid for 395 days”
NCHSAA Personnel
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School Personnel
There are two kinds of school-based health and safety personnel; Licensed Athletic Trainer and First Responder.
Scroll down and click on the arrow to view the responsibilities and requirements.

Licensed Athletic Trainer
  • Athletic training encompasses the prevention, examination, diagnosis, treatment and rehabilitation of emergent, acute or chronic injuries and medical conditions. Athletic training is recognized by the American Medical Association (AMA), Health Resources Services Administration (HRSA) and the Department of Health and Human Services (HHS) as an allied health care profession.
  • Athletic trainers are highly qualified, multi-skilled health care professionals who collaborate with physicians to provide preventative services, emergency care, clinical diagnosis, therapeutic intervention and rehabilitation of injuries and medical conditions. Athletic trainers work under the direction of a physician as prescribed by state licensure statutes. In North Carolina, an athletic trainer is a person who, under a written protocol with a physician licensed under Article 1 of Chapter 90 of the General Statutes and filed with the North Carolina Medical Board, carries out the practice of care, prevention, and rehabilitation of injuries incurred by athletes, and who, in carrying out these functions, may use physical modalities, including heat, light, sound, cold, electricity, or mechanical devices related to rehabilitation and treatment.
  • Licensed Athletic Trainer (LAT) – In North Carolina a Licensed Athletic Trainer is an individual who is licensed under Article 34 of Chapter 90 of the General Statutes entitling them to perform the functions and duties of an athletic trainer.
First Responders

First Responder (FR) - A first responder must meet the following requirements set forth by the North Carolina State Board of Education Policy ATHL-000.
Injury Management Course for LEA use, contact James Bazluki at James.Bazluki@carolinashealthcare.org.

Any individual designated as a first responder at any NCHSAA member high school must meet the following criteria: 

Click here to download the requirements.
  • Must be CPR/AED certified prior to the first practice date of the school year by an organization such as the American Red Cross or the American Heart Association and maintain certification while serving in this role.
    • CPR/AED courses that satisfy this requirement should include some hands-on, in-person skill presentation and evaluation, regardless if part of the course is online or entirely in-person.
    • CPR/AED certification must not lapse while serving in the role as a first responder.
  • Must be First Aid certified prior to the first practice date of the school year by an organization such as the American Red Cross or the American Heart Association and maintain certification while serving in this role. First Aid certification must not lapse while serving in the role as a first responder.
  • Must annually take the NFHS “Concussion in Sport” course or an equivalent concussion curriculum prior to the first practice date of the school year. This course or an equivalent is valid for 365 days and must not lapse while serving in the role as a first responder. 
  • Must annually complete and maintain continuing education in injury prevention and management as offered by an organization such as the NFHS. Continuing education courses are valid for 365 days from date of completion and must not lapse while serving in the role as a first responder.
  • Must annually complete 10 hours of staff development/continuing education each school year specific to first aid, injury recognition and prevention.
    • The 10 hours may include hours necessary for recertification/renewals.
    • Original documentation of annually completed continuing education, including current and expired CPR/AED and First Aid cards, must be retained as proof of eligibility to serve as a first responder.

Athletic Event Medical Care Requirements

  1. The licensed athletic trainer or first responder may not have concurrent coaching responsibilities during the time in which the person is working as a licensed athletic trainer or first responder.
  2. The member school's licensed athletic trainer or first responder must physically attend all football practices and both home and away games unless excused by the superintendent in writing due to an emergency.
  3. A licensed athletic trainer or a first responder must be physically present if any protective equipment (helmets and/or shoulder pads) is worn by student-athletes participating in football skill development during the school year.
  4. A licensed athletic trainer or first responder must physically attend all summer football 7-on-7 events and must be physically present at all times in any competition area in which contests are being held.

  5. A licensed athletic trainer or first responder must physically attend all wrestling matches.

  6. A licensed athletic trainer or a first responder must be physically present at all times in any competition area in which wrestling matches are being held. Example: Wrestling in the Auxiliary Gym and Main Gym at the same time would require two licensed athletic trainers or first responders or a combination of one of each.
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