This best-selling resource guides health care professionals through the preparticipation physical evaluation PPE process for young athletes from middle school through college.   Included are recommendations on PPE timing, setting, and structure; medical history questions; and how to determine participation clearance. This resource also lists return-to-play guidelines, addresses medicolegal and ethical concerns, and explores future research and use of electronic formats. Contents cover physical examination and clearance, systems-based examinations, cardiovascular problems, central nervous system, pulmonary system, musculoskeletal conditions, and more. New in the Fifth Edition: New chapter for the female athlete New sections on mental health and the transgender athlete Includes English and Spanish versions of the History Form