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
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 PDF, Updated, 12/2020)
Sample Recommended NYSED Interval Health History for Athletics 12/2020) Word Doc
Spanish Sample Recommended NYSED Interval Health History for Athletics (Word Updated 1/2021)
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.
Page Updated 1/22/2021
