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Sports Information » Sports Physical Exam and Medical Forms

Sports Physical Exam and Medical Forms

Please click on the title of the forms from the list below to access information related to sports.
Permission to Administer Medication During School
This form grants permission to the appropriate school personnel to administer medication to a student during school hours.
Permission for Self-Administration of Epi-Pen and/or Inhaler and Waiver of Liability
This form allows parents/guardians to grant permission for their child to self-administer an epi-pen or inhaler during the school day.
Permission for Designee to Administer Epi-Pen and Waiver of Liability
This form allows parents/guardians to grant permission for a designee to administer an epi-pen to their child during the school day. 
Seizure Action Plan
Questionnaire for Parent of a Student with Seizures and Seizure Action Plan
The forms above provides important seizure treatment information to school medical personnel so that an appropriate individualized health care plan is in place during the time the affected student is in the school environment.
FOR MIDDLE SCHOOL STUDENTS ONLY
 
Please carefully read, sign, and print the complete packet of athletics information, which consists of the Sports Physical Exam Form, the Sports Repeater Form, the Sports-Related Concussion and Head Injury Fact Sheet and Parent/Guardian Form/Sign Off, Opioid Use and Misuse Educational Fact Sheet/Sign Off, and Sudden Cardiac Death in Young Athletes/Sign Off.
 
Athletics Information
This includes the Sports Physical Exam Form, the Sports Repeater Form, the Sports-Related Concussion and Head Injury Fact Sheet and Parent/Guardian Form/Sign Off, Opioid Use and Misuse Educational Fact Sheet/Sign Off, and Sudden Cardiac Death in Young Athletes/Sign Off.
(Health History Update Questionnaire)
The middle school Sports Physical Repeater form is necessary to update the student’s health history. It is required for each sports session until the Sports Physical Exam form expires, which is 365 days to the start of the new session. After this expiration date, a new Sports Physical Exam is necessary.
 
Please carefully read and complete this information if it applies.
 
Consent for School Physician to Conduct Sports Physical Exam
Sports physicals for seventh and eighth graders, as well as for incoming sixth graders, must be conducted by the student’s personal medical doctor/medical facility. The only exception is for parents of those students who have qualified for free or reduced lunch. Your children may be eligible for a sports physical to be performed at school. Please contact your middle school’s nurse for further instructions before completing this form.