Athletics Forms | Letters | Notifications

Student-Athletes with Medical Conditions - Confidential List

Sample form school nurses may use to share student medical needs with athletic directors/coaches (8/16)
Sample clearance to participate in sports flowchart. (4/18) 

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 (Dated 2020)
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. To make sure the version of the form you are using is correct be sure it has 2020 in the footer. Note: Until 1/30/21, schools may accept any health examination regardless of the form it is on. 


Sample Recommended NYSED Interval Health History for Athletics Completed by parent/guardian no earlier than 30 days prior to the start of the sport. This form now includes questions related to COVID-19 (Fillable PDFUpdated, 12/2020)

Sample Recommended NYSED Interval Health History for Athletics 12/2020) Word Doc

New   Spanish Sample Recommended NYSED Interval Health History for Athletics (Word Updated 1/2021)

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

New York State Athletic Placement Process for Interschool Athletic Programs (NYS APP), 2014, Updated 8/2015, Updated 7/2016 
Note: This document was updated in July 2016 with an adjustment of Tanner scores in Appendix H, reference citations for medical directors and additional clarification in step 4 regarding recommended vs. required Tanner scores. 

Attachment C:  Physical Maturity Form (page 17) - form to be filled out by both Director of PE/Athletics AND Medical Director

Attachment H:  Physical Maturity Chart (page 25) - Physical Maturity Chart - Recommended Tanner Scores APP  

Page Updated 1/22/2021