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
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. (Updated 5/1/2018)

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 American Academy of Pediatrics may be helpful in collecting additional health information from athletes with special needs. (AAP-Bright Futures, 3/2018)

NYS Athletic Placement Process for Interschool Athletic Programs 2014 (Revised 2015)

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 for new APP  

Page Updated 6/22/18