HEALTH EXAMINATION FORM. Please Print. Clearly . NYC ID (OSIS) TO BE COMPLETED BY THE PARENT OR GUARDIAN. Child’s Last Name. First Name. Middle Name. Sex. M Female …
Division of School Health PARENT / GUARDIAN / STUDENT: Complete page one of this form before student’s exam. Take completed form to appointment.
State law for school entry requires a health examination by a legally qualified professional. Additional requirements may be determined by local school districts.
Physical Exams | Department of Health - PA.GOV
In 2012, the Department published a physical examination form which is to be used for both private and school physical examinations. This form is more comprehensive than previous …
NYSED requires a physical exam for new entrants and students in Grades Pre-K or K, 1, 3, 5, 7, 9 & 11; annually for interscholastic sports; and working papers as needed; or as required by the …
As a minimum requirement, this Physical Examination Form must be completed prior to junior high participation and again prior to first and third years of high school participation. It must be …
The State Board of Education adopts by reference the form entitled "School Sports Pre-Participation Examination " dated May, 2017 that must be used to document the physical …
Consider reviewing questions on cardiovascular symptoms (Q4–Q13 of History Form). a Consider electrocardiography (ECG), echocardiography, referral to a cardiologist for abnormal cardiac …
A copy of the physical exam is on record in my offce and can be made available to the school at the request of the parents. If conditions arise after the athlete has been cleared for participation,
Pennsylvania law requires that students attending school in the state be immunized and receive periodic medical examinations. Payment for these examinations is the responsibility of the …