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 
The form may be printed and completed by hand. (NYSED 2020). 

Required NYS School Health Examination Form (Fillable PDF)
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
This form now includes questions related to COVID-19 (Fillable PDF, Updated 12/2020

Sample Recommended NYSED Interval Health History for Athletics (Word, Updated 12/2020)

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)

New York State Athletic Placement Process for Interschool Athletic Programs (NYS APP)
(NYSED 2014, Updated 8/2015, Updated 7/2016) 

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 1/29/21