SPORT PHYSICALS

Physicals must be completed and returned to the School Nurse prior to participation. All students in grades 5-8 participating in interscholastic sports are required to have a Sports Physical. Physicals are required once within a 365 day calendar year. Please be advised you and your physician must complete all areas of the Sports Physical. Please check your Physical Form before leaving the physician's office.  Physicals not completely filled out are considered incomplete and will be returned to you. If your child takes medication, this must be stated on the form where indicated. When a form is returned to you, return it to the School Nurse as soon as possible. If forms are not returned in 5 days, your child will not be able to participate in their sport. Please contact Ms. Langheim, R.N. at 609-561-8666 x 116 with any questions.

Please click on this following link for the NJ Department of Education Athletic Pre-Participation Physical Evaluation Form.  The use of this form is required by N.J.A.C. 6A:16-Programs to Support Student Development.

Part A - Health History Questionnaire (3 pages) - must be completed by the parent and student and reviewed by the examining provider at the time of the Physical Examination.

Part B - Physical Evaluation Form (4 pages) - must be completed by the examining licensed provider (MD, DO, APN, or PA). Note that Part B , Page 3 requires the Physician's/Provider's Stamp.

Please be advised ALL INFORMATION AREAS must be completed including DATES and SIGNATURES.  If any area is left blank, the form is considered incomplete and will be returned to you.  At this point your child will NOT be permitted to participate in their sport.

All completed pages should be returned to the School Nurse.

Thank you.