NFL Collective Bargaining Agreement

Appendix K
Standard Minimum Preseason Physical Examination

Should there be the need for additional examination or testing in any specific area, such will be permitted.

General Medical Examination

  1. History
    • player
    • family
    • thorough review of all team physicians and trainer reports for preceding seasons
  2. Examination
    • head
    • face
    • scalp
    • ears
      • external & drums
    • sinus
    • throat
    • eyes
      • pupils
      • reaction to movement & light
    • lungs
      • palpation
    • chest
    • heart
    • visceral
    • hernia
    • rectal
      • hemorrhoid
      • fistula
      • prostate
    • gastric
    • any unusual body marks, i.e. scars, birthmarks
    • height
    • weight
    • temperature
    • blood pressure
    • pulse
    • heart rate

Orthopedic Examination
Examination visually, including stress testing and range of motion for all of
the following:

  • neck and spine
  • shoulder
  • elbow
  • wrist
  • fingers
  • hips
  • knees; also knee jerk
  • ankle; check Achilles tendon for abnormalities and by jerk test
  • toes

Testing of hamstrings and neck

Heart Abnormalities
ECG with interpretation

Stress testing available and performed when clinically-indicated

Blood Testing
Standard grid. Testing for (including but not limited to):

  • CBC diff platelets
  • Complete chemistry profile including but not limited to electrolytes, BUN/Creatinine,
  • LFTs, glucose
  • Lipid profile
  • T4, TSH
  • U/A
  • Sickle Cell (only if not previously tested)
  • G6PD (only if not previously tested)

Neuropsychological Testing (Baseline) Urinalysis
Check for (including but not limited to):

  • Protein
  • Glucose
  • PH Factor
  • Diabetes
  • Renal Failure
  • Gout

Vision Testing

  • peripheral vision
  • standard eye test

Hearing Test

Dental Examination

Chest X-Ray (initial screening only, and then based on past history and complaints)
Check for: Tumor

X-Ray all previously injured areas (at physician’s discretion)