May 23, 2012
Physicals for participants in all sports will
be held by the district's physician, Dr. Anthony
Marinello, at High School East
on dates TBA during the summer.
Beginning with school year 2011-2012 we will
offer 3 dates (one in June, one in July
and one in the month of August).
These are the only dates for sports physicals
for the entire school year. There will be
no make-up dates.
Physicals are open to ALL Shenendehowa
students (girls and boys in grades 7-12). Physical examinations are
required for students participating in interscholastic sports. Proof
of physicals must be presented BEFORE a student may tryout for a
sport. Students must be cleared by specific deadlines TBA (typically
the first day of varsity practices/tryouts).
The Shenendehowa
nurses have compiled this to help you so that when you get to us,
you have everything you need. We recommend you have your parent
with you or available as one of the forms requires a parent
signature.
Sports Physical Nights are designated for School Sports Physicals
ONLY! WE DO NOT ACCEPT PRIVATE PHYSICALS ON
THESE NIGHTS – NO EXCEPTIONS PLEASE!
HERE IS WHAT YOU WILL NEED
• SPORTS CANDIDATE HEALTH HISTORY - HPE 6. This form has a front & back with 53 questions. Complete this form with your parent within 2 days of coming to the school sports physical! It requires a parent signature! This form must be presented in order for the school physician to do a school Sports Physical. PLEASE ADD YOUR SPORT NEXT TO YOUR BIRTHDATE.
• SPORTS PHYSICAL EXAM FORM (HA1/HPE5) (PDF). This form will be completed by the school district physician. Please only fill out the first line: your name {last name first}, school & grade you will be attending in the Fall, & the SPORT.
• MEDICATION FORM - HM2 - DO I NEED TO HAVE THIS? YES, if you will have any medication in the nurse’s office OR if you plan to carry ANY medication during the school year! For example, ANY MEDICATION, an Inhaler, EPI PEN, prescribed medication or ANY over the counter medication. This form MUST be completed by your physician & parent. Please have your doctor check off that you may carry this medication if you will be doing so. The form should be completed by the doctor AFTER July 1st each year.
These three forms are the only ones you will need. Do not bring
other forms with you. It will save time when you get to the nurses.
Thanks!
The Shenendehowa nurses want you to have a successful sports season!
Please be patient. We are here to help you.
