Medical and Athletic Clearance

ATHLETIC SPORT FORM REQUIREMENTS - 2019/2020

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 - 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 8-10-18, that means it will expire on 8-10-19.  If the first day of your tryout is on or before 8-10-19, then your physical is current.  If your tryout starts on 8-11-19 or later, then your sports physical has expired, is not current and a new physical is needed.   This definition applies to new sports physicals as well.

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   Also see B below
#2    If you DO have a current physical on file in your Health Office -   click here to download forms – A, C, D, G   Also see B below
#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 and be signed, dated and stamped by the physician

B. ADDITIONAL 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.  Attach them to the sport form if not already on file.

Epi-Pen Users:
Emergency Health Care Plan and Medication Orders for Life Threatening Allergies

Inhaler Users: Any student who uses an inhaler regardless of diagnosis
Asthma Treatment Plan
Asthma Questionaire

Diabetes:
Diabetes Medical Management Plan
Diabetes Management Questionaire

Seizure:
Seizure Health Care/Emergency Plan


3/5/19