ATHLETIC SPORT FORM REQUIREMENTS - 2016/2017

Medical and Athletic Clearance Form Requirements

 

This website contains the current NJ State physical forms.  Only forms from this website will be accepted for new physicals.

 

A. PHYSICAL AND ATHLETIC SPORTS CLEARANCE FORMS 

DO NOT SUBMIT A SPORT PHYSICAL THAT WILL EXPIRE PRIOR TO THE FIRST DAY OF TRYOUTS (this includes start date of Marching Band and Colorguard) - forms will be returned. Call the health office for assistance.

 

DEFINITION OF A CURRENT SPORT PHYSICAL ON FILE – A sports physical (Form E and Form F) that has been handed in to your nurse for sports clearance within the past year AND the date of your physical is within a calendar year from your first day of tryouts.  For example, if the date of your physical was 8-10-15, that means it will expire on 8-10-16.  If the first day of your tryout is on or before 8-10-16, then your physical is current.  If your tryout starts on 8-11-16 or later, then your sports physical has expired, is not current and a new physical is needed.

 

 

WHAT DO I NEED TO HAND IN TO MY GRADE OFFICE NURSE FOR EACH SEASON MY CHILD PARTICIPATES IN A SPORT?

 

#1    If you DO NOT have a current physical on file in your Health Office - click here to download  forms –A, B, C, E, F, G

 

#2    If you DO have a current physical on file in your Health Office -   click here to download forms – A, C, D, G

 

#3   If you are currently participating in a sport and your sports physical expires during that same sports season -
click here to download forms – B, C, E, F

 

 

REMEMBER:       Forms (A, B, C, D, G) completed by parents/students MUST be signed and dated within 90 DAYS prior to the first day of tryouts.
REMEMBER:       Sport Physical forms (E, F) are good for one year but must meet the above definition.

 

B. MEDICAL FORM REQUIREMENTS FOR STUDENTS WITH ASTHMA, EPI-PEN ALLERGIES, DIABETES OR SEIZURES:

These medical forms are valid for the current school year only and must be submitted to your Health Office at the beginning of each new school year or when first diagnosed.  Clearance to participate in a sport cannot be approved if these forms are not received.  Attached them to the sport form if not already on file.

 



Epi-Pen Users Inhaler Users: Any student who uses an inhaler regardless of diagnosis
Emergency Health Care Plan and Medication Orders for Life Threatening Allergies Asthma Treatment Plan
  Asthma Questionnaire
Diabetes Seizure
Diabetes Medical Management Questionnaire Seizure Health Care/Emergency Plan
Diabetes Medical Management Plan