Before starting a sport, training program or physically demanding activity, you may need a medical clearance physical. This exam reviews your health and identifies concerns that could affect participation.

Medical clearance and agility testing are distinct. A physical evaluates health risks; an agility test measures performance. Neither guarantees injury-free participation.

Medical Clearance vs. Agility Testing

Medical Clearance Physical

A healthcare provider reviews your medical history and performs an examination to determine whether:

• You can participate without restrictions.
• You need treatment, precautions or activity modifications.
• Further evaluation is needed before clearance.

For sports, this is commonly called a sports physical or preparticipation physical evaluation (PPE).

Agility or Physical Ability Test

An agility test assesses your ability to perform specific movements or tasks. Depending on the program, it may involve running, lifting or other performance measures.

These tasks are not automatically part of a medical physical. Ask your organization whether it requires medical clearance, performance testing or both.

What Does a Clearance Physical Include?

The exam depends on your age, medical history, activity level, and required paperwork.

Medical History Review

Be prepared to discuss:

• Current medications, supplements and allergies.
• Chronic conditions, such as asthma or diabetes.
• Previous injuries, concussions, surgeries and hospitalizations.
• Chest discomfort, fainting, unusual breathlessness or palpitations during exercise.
• Family history of serious heart conditions or unexplained sudden death.

A chronic condition does not automatically prevent participation. It may mean you need an individualized management plan.

Physical Examination

A sports clearance exam commonly assesses:

• Height, weight and blood pressure
• Vision
• Heart and lungs
• Joints, muscles and movement.
• Findings related to previous injuries or current symptoms

It is a health assessment—not a test of athletic skill or a requirement to have a “perfect” medical history.

Will You Need an EKG or Blood Tests?

Not necessarily. Additional testing depends on your history, examination findings, and program requirements.

Bloodwork is not a standard requirement for every sports physical. An EKG may be appropriate in certain circumstances or as part of screening programs. Current heart guidelines consider ECG screening reasonable for competitive athletes when expert interpretation and appropriate follow-up resources are available.

How to Prepare

• Bring the required forms: Include instructions and participation deadlines
• List medications: Include prescriptions, over-the-counter products and supplements
• Gather relevant records: Bring information about previous injuries or specialist evaluations
• Wear comfortable clothing: Choose clothes that allow easy movement
• Report symptoms honestly: Do not minimize concerns to obtain clearance
• Ask about additional requirements: Confirm whether separate agility testing is needed

For children and teens, a parent or guardian should help complete the health history.

When Should You Schedule?

Schedule well before your participation deadline to allow time for any necessary follow-up. Requirements vary by organization and activity.

A clearance physical also does not replace ongoing preventive care or the evaluation of new symptoms.

Schedule Your Clearance Physical

Need a physical for sports or another activity? Contact tru Primary & Urgent Care to confirm your program’s requirements and schedule an evaluation.

Bring your paperwork so your provider can review the requested clearance.