The physical examination must be done by your own physician or health care provider. The form is required by the N.J. Department of Education and must be utilized by your physician. The student will not be allowed to try out or participate in the sport unless the form is complete.
Give the following pages to your child’s doctor to complete during the physical exam:
History Form – Pages 2 and 3
Athletes with Disabilities: Supplement to the Athlete History – Page 4
Physical Examination Form – Page 5
Preparticipation Physical Evaluation Medical Eligibility Form – Page 6
After the exam:
You must return the completed and signed “Preparticipation Physical Evaluation Medical Eligibility Form” (Page 6) to your child’s school nurse.
Only Page 6 needs to be submitted to the school. The other forms are for your records and your physician’s reference.