May 23, 2012
Private physicals must be approved by the
school nurse before a student can practice. 7th and 8th graders
wishing to try out for the first time for a Freshman, JV or Varsity
team MUST BE SEEN BY THE SCHOOL PHYSICIAN at one of the school
physicals dates for maturation screening.
Coaches cannot approve or accept private physical forms. Private
sport physicals can not be submitted during school sport physical
nights.
• 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 your private sports physical! It requires a parent signature! This private sports physical and the Health History form must be presented in person to your school's nurse. PLEASE ADD YOUR SPORT NEXT TO YOUR BIRTHDATE.
• SPORTS PHYSICAL EXAM FORM (HA1/HPE5) (PDF). The physical must be done on a Shenendehowa School/Sports Physical form. You must give us the ORIGINAL, complete physical, signed, dated & stamped with the doctor’s office stamp & phone number on it. The physical is valid for 12 months from the date of completion.
• THE RECERTIFICATION FORM - HPE 7 - WHEN DO I USE IT? Complete this form ONLY IF your physical is less than one year old on the start date of the season. This form MUST be completed IN ADDITION to the Health History (HPE6) & the physical (HPE5). This form has 16 questions. It requires a parent signature. This form MUST BE DATED WITHIN 1 DAY of coming to the CLEARANCE hours.
• 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 after July 1st each year. Please have your doctor check off that you may carry this medication if you will be doing so.
