The nursing laws and rules do prohibit the competent and appropriately trained licensed practical nurse from assisting in performing a sports physical examination under the direction of an authorized provider or under the direction and supervision of the registered nurse. Organizational policies may dictate who can perform a sports physical examination. RCW 28A.600.200 Interscholastic Athletic and Other Extracurricular Activities for Students provides authority to the school district board of directors to control, supervise, and regulate the conduct of interschool athletic activities including delegating control, supervision and regulation to the Washington Interscholastic Activities Association (WIAA) or other voluntary nonprofit entity. The WAII Handbook identifies a Medical Doctor (MD), Doctor of Osteopathy (DO), Advanced Registered Nurse Practitioner (ARNP), Physician' Assistant (PA), and Naturopathic Physician as a medical authority to perform a sports physical examination.