SCHOOL SPORTS PHYSICALS

Physicals for participants in all sports will be held in the High School East Building Health Office by the school physician, Dr. Anthony Marinello, on dates TBA each season.

There is one date for Winter and one date for Spring sports physicals. There will be no make-up dates.  For Fall sports we typically schedule 3 dates in the month of August.

Physicals are open to ALL students (girls and boys in grades 7-12).  Physical examinations are required for students participating in interscholastic sports.  Proof of physicals must be presented BEFORE a student may tryout for a sport. 

What You Need On School Sports  Physical Night!

The Shenendehowa nurses have compiled this to help you so that when you get to us, you have everything you need.  We recommend you have your parent with you or available as one of the forms requires a parent signature. 

Sports Physical Nights are designated for School Sports Physicals ONLY! WE DO NOT ACCEPT PRIVATE PHYSICALS TONIGHT – NO EXCEPTIONS PLEASE! (see below for information on private physicals)

HERE IS WHAT YOU WILL NEED

• SPORTS CANDIDATE HEALTH HISTORY -  HPE 6. This form has a front & back with 53 questions. Complete this form with your parent within 2 days of coming to the school sports physical! It requires a parent signature!  This form must be presented in order for the school physician to do a school Sports Physical. PLEASE ADD YOUR SPORT NEXT TO YOUR BIRTHDATE.

• SPORTS PHYSICAL EXAM FORM (HA1/HPE5)  This form will be completed by the school district physician.  Please only fill out the first line: your name {last name first}, school & grade you will be attending in the Fall, & the SPORT.

• MEDICATION FORM - HM2 - DO I NEED TO HAVE THIS? YES, if you will have any medication in the nurse’s office OR if you plan to carry ANY medication during the school year!   For example, ANY  MEDICATION, an Inhaler, EPI PEN, prescribed medication or ANY over the counter medication. This form MUST be completed by your physician & parent.  Please have your doctor check off that you may carry this medication if you will be doing so. The form should be completed by the doctor AFTER July 1st each year.

These three forms are the only ones you will need. Do not bring other forms with you. It will save time when you get to the nurses.  Thanks!

The Shenendehowa nurses want you to have a successful sports season! Please be patient. We are here to help you.
 

PRIVATE PHYSICAL CLEARANCE

Private physicals must be approved by the school nurse before a student can practice. 

Coaches cannot approve or accept private physical forms. Private sport physicals can not be submitted during school sport physical nights.

What You Need for a Private Physical Clearance!

• SPORTS CANDIDATE HEALTH HISTORY -  HPE 6. This form has a front & back with 53 questions. Complete this form with your parent within 2 days of your private sports physical! It requires a parent signature!  This private sports physical and the Health History form must be presented in person to your school's nurse. PLEASE ADD YOUR SPORT NEXT TO YOUR BIRTHDATE.

• SPORTS PHYSICAL EXAM FORM (HA1/HPE5). The physical must be done on a Shenendehowa School/Sports Physical form. You must give us the ORIGINAL, complete physical, signed, dated & stamped with the doctor’s office stamp & phone number on it. The physical is valid for 12 months from the date of completion.

• THE RECERTIFICATION FORM - HPE 7 - WHEN DO I USE IT? Complete this form ONLY IF your physical has been done BEFORE October 2, 2009. This form MUST be completed IN ADDITION to the Health History (HPE6) & the physical (HPE5). This form has 16 questions. It requires a parent signature. This form MUST BE DATED WITHIN 1 DAY of coming to the CLEARANCE hours.

• MEDICATION FORM - HM2 - DO I NEED TO HAVE THIS? YES, if you will have any medication in the nurse’s office OR if you plan to carry ANY medication during the school year!   For example, ANY  MEDICATION, an Inhaler, EPI PEN, prescribed medication or ANY over the counter medication. This form MUST be completed by your physician & parent after July 1st each year.  Please have your doctor check off that you may carry this medication if you will be doing so.

STUDENTS WITH ASTHMA

Students must have a completed the Medication Administered in School Form (HM2) from their private physician with the completed Health History Form (HPE6) in order to attend a school physical or to be cleared with a private physical.

In accordance with New York State Education Law (see below), all student athletes must have a completed form by their own physician to self-administer any medication { i.e. Albuterol Inhaler} before they will be allowed to participate in any school sponsored sports.  The completed form must be given to the school nurse before the student will be placed on the clearance list.

New York State Law Article 19- Medical and Health Services:
S916. Pupils afflicted with asthma. The board of education or trustees of each school district and board of cooperative educational services shall allow pupils who have been diagnosed by a physician or other duly authorized health care provider with a severe asthmatic condition to carry and use a prescribed inhaler during the school day with the written permission of a physician or other duly authorized health care provider, and parental consent, based on such physician's or provider's determination that such pupil is subject to sudden asthmatic attacks severe enough to debilitate such pupil. A record of such permissions shall be maintained in the school office.

Selective classification is required for 7th or 8th graders to participate on an interscholastic athletic team
The Selection/Classification Program is a process for screening students to determine their readiness to compete in interscholastic athletic competition by evaluating their physical maturity, fitness and skill. The student may be placed at the appropriate level of competition which should result in increased opportunity, a fairer competitive environment, reduced injury and greater personal satisfaction. The intent of this program is to provide for students in grades 7 through 12 to safely participate at an appropriate level of competition based upon readiness rather than age and grade.

Prior to tryouts, students will have to complete the following:

If the student meets all the requirements, he/she will be eligible to TRYOUT for his/her particular sport. This process does not guarantee participation on a team.