Health & Safety - Sports Physicals
Health History Questionnaire & Physical Examination
Athletic Competition Health Screenings and Physical Examinations
NJ.A.C. 6A:16-2.2 & N.J.S.A. 18A:4o-4
Each student, grades 6-12, must obtain a medical examination prior to participation on a scool-sponsored interscholastic or intramural athletic team/squad.
The medical examination must be conducted by a healthcare provider or advanced practice nurse chosen by the student’s parent/guardian at the student’s *medical home*. A full report of the examination, documented on an approved school district form, dated, and signed by the medical provider must be presented to the school.
*note* :
A medical home
is described as a healthcare provider (physician or advanced practice nurse)
practice site chosen by the student’s parent/guardian for the provision of
health care. If the student does not have a "medical home," the
district may provide the examination at the school physician’s office or other
appropriately equipped facility.
Each candidate whose medical examination was completed more than 60 days prior to the first practice session must provide an updated HEALTH HISTORY of medical problems experienced since the last medical examination. This must be completed and signed by the parent/guardian. The district form must be utilized.
Each candidate’s parent/guardian will receive written notification stating approval of the student’s participation in athletics based upon the medical examination or the reason for the disapproval of the student’s participation.
Both of these forms may be picked up in the school nurse’s office or at the office of the athletic director. They may also be downloaded from this web site.
