Physical requirement letter 2018-2019
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New York State Education Law requires a physical exam for new entrants and students in Grades Pre- K or Kindergarten, 1, 3, 5, 7, 9, & 11; annually for interscholastic sports; working papers as needed or as required by the Committee on Special Education (CSE) or Committee on Pre-School Special education (CPSE). A Required NYS School Health Examination Form (see attached) must be completed by your physician and returned to the School Nurse. All new students entering the district during the school year have one month from the date of entry to submit a completed medical form. Please note that physical examinations for mandated grades are considered current from one year prior to the opening day of school.
It is strongly recommended that you have your own health care provider see and examine your child annually to ensure continuity of care. If this is not possible, you have an option to schedule your child to have a physical exam done at school by a Family Nurse Practitioner.
Complete and return this form within three school days.
________I will have my child examined by my own health care provider. The exam is scheduled for ▁▁▁▁▁▁▁▁▁▁▁▁ (date). I will provide a copy of the physical to the School Nurse upon completion.
▁▁▁▁▁ I would like to schedule this exam for my child with the district Family Nurse Practitioner.
Please indicate if you wish to be present for this exam: Yes ▁▁ No ▁▁
Students name: ▁▁▁▁▁▁▁▁▁▁▁▁ Grade: ▁▁▁▁▁▁▁▁▁▁▁▁
Parent/Guardian signature: ▁▁▁▁▁▁▁▁▁▁▁▁ Date: ▁▁▁▁▁▁▁▁▁▁▁▁