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Hainesport Township School District

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Sports Physicals

Sports Physical Paperwork

2022-2023 Sports Physicals

 

Spring Sports Physical Paperwork DUE NO LATER than March 1st.

 
There are no exceptions to the deadlines.
 
 
The Sports Physical Packet can be found at the link below, under the FORMS page and in the nurse's office.
 
 

PLEASE READ ALL INFORMATION CAREFULLY

 
A permission form must be completed and returned for each sport played.
 
Pursuant to N.J.S.A. 18A:40-41.7.c, all students in grades 6-12 shall have a medical exam conducted within 365 days prior to the first practice session of any interscholastic or intramural sport. The exam must be completed on the state approved “Annual Athletic Pre-Participation Physical Examination Form.” Part A is to be completed by the parents/guardians and brought with you to the physical exam. 
 
ALL AREAS ON PART B MUST BE COMPLETED BY YOUR HEALTHCARE PROVIDER. DO NOT LEAVE YOUR HEALTH CARE PROVIDER’S OFFICE WITHOUT MAKING SURE THAT THE VISION AND ALL VITAL SIGN AREAS HAVE BEEN COMPLETED. THIS IS A STATE REQUIREMENT.
 
Physical forms must be submitted to the nurse by the deadline and then reviewed and approved by the school physician PRIOR to sports participation. 
 
If your child’s physical examination was completed more than 90 days but less than 365 days prior to the first practice, a new physical exam is not necessary, but the NJ Health History Update Questionnaire must be completed and submitted to the nurse. 


ALL PARENTS AND STUDENTS MUST SIGN

 
  • The Permission Form
  • The first page of the Physical Examination Form 
  • The “Sports-Related Concussion and Head Injury” Fact Sheet/Acknowledgement Form
  • The “Sudden Cardiac Death In Young Athletes” Pamphlet/Acknowledgement Form
  • The “Opioid Use and Misuse” Fact Sheet/Acknowledgement Form.
 

IN ADDITION AND AS APPLICABLE

 
All students with ASTHMA must have a current (participating school year) asthma action plan on file in the nurse’s office with permission to self-carry and self-medicate. Students should carry their inhalers in their athletic bags as they will be traveling off school property and will not have access to a nurse or the nurse’s office. Failure to provide this may impact your child’s approval to participate. 


All students who require epinephrine for LIFE-THREATENING ALLERGIES should have a current (participating school year) anaphylaxis emergency care plan on file in the nurse’s office and should carry their medication in their athletic bag. Failure to provide this may impact your child’s approval to participate. 
 

Contact our School Nurse, Ms Cydni Hess, with any questions.

(609) 267-1316 ext. 208