Student-Athletes with Medical Conditions - Confidential List

Sample form school nurses may use to share student medical needs with athletic directors/coaches (NYSCSH 8/16)
Sample clearance to participate in sports flowchart. (NYSCSH 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 
  The form may be printed and completed by hand. (NYSED 2020). 
  
• Required NYS School Health Examination Form (Fillable PDF 2020)
  This form may be completed electronically by saving it to your computer, entering the information into the fillable fields, and saving a copy for each student (NYSED 2020)

Sample Recommended NYSED Interval Health History for Athletics

• Sample Recommended NYSED Interval Health History for Athletics
  Includes questions related to COVID-19 (Fillable PDF, Updated 12/2020) 
• Sample Recommended NYSED Interval Health History for Athletics (Word, Updated 12/2020)
• Spanish Sample Recommended NYSED Interval Health History for Athletics (Word, Updated 1/2021)
• Sample Recommended Medical Certificate of Limitations Form
  May be used to document private provider recommendations for accommodation for PE (5/2018).
• Sample Athlete with Special Needs Supplemental History Form
  May be used to obtain additional health information from athletes with special needs. (AAP-Bright Futures, 3/2018)

The links below redirect to the NYS Education Department Athletics and Coaching Page for the most current information on this topic.

• Athletic Placement Process for Interschool Athletic Programs (Last updated 2017)
  • 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  
• APP Frequently Asked Questions (FAQ)
• Competitive Cheerleading - Frequently Asked Questions
• Concussion Management Guidelines
• Guidelines for Sports Standards
• Guidelines for Students with Disabilities: Extended Athletic Eligibility Waiver Form
• Health Examination Guidelines for Schools
• Mixed Competition

Page updated 3/16/21