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New NYSED Memo: Required NYS School Health Examination Form Update - Provides an update and affirmation that school should continue to accept a health exam on any form for the 2019-2020 school year. (4/18/19)    

 

Health Examination Resources for Schools

School Health Examination Guidelines 2018
Provides information on student health examination requirements and guidance for administrators and school health personnel in establishing the mandated health program. (Updated May 2018)

Required NYS School Health Examination Form 
This form should be completed by the private health care provider or school medical director to document health examinations. The form may be printed and completed by hand or completed electronically by saving it to your computer, entering the information into the fillable fields and saving a copy for each student. Note: for the 2019-2020 school year, schools may accept any health examination regardless of the form it is on. See the memo at the top of this page for additional info.

Sample Recommended NYSED Interval Health History for Athletics
Completed by parent/guardian no earlier than 30 days prior to the start of the sport.(Updated, 3/2018) Fillable PDF

Sample Recommended NYSED Interval Health History for Athletics
Completed by parent/guardian no earlier than 30 days prior to the start of the sport.(Updated, 3/2018) Word Doc

Sample Recommended Form-Medical Certificate of Limitations
Used to document private provider recommendations for accommodation for PE (Updated May 2018).

Sample Athlete with Special Needs Supplemental History Form
This resource from the American Academy of Pediatrics may be helpful in collecting additional health information from athletes with special needs. (AAP-Bright Futures, 3/2018)

Health Exam FAQs

2018-19 Specific FAQs- Health Examinations
General FAQs - Health Examinations 

Dental Certificates

Dental Certificates should be requested along with Health Examinations but are NOT required for school attendance.

Click the link below for Screening Resources on the Guidelines and Memos Page

NYS Education Department Screening Guidelines and Memos for Hearing, Scoliosis, and Vision include guidelines, screening forms, School Health Exam/Screening Chart, sample parent notification and referral forms, sample teacher observation forms, documentation and tracking forms.

Page updated 4/2/19