This six page form is required for all students interested in participating in any school sports activities. Pages 1 through 5 must be completed and signed by the parent/guardian and student, and page 6 must be completed, signed and stamped (doctor’s office stamp) by your child’s primary care physician. The date of the physical examination must be June 1, 2021 or later.
This form is required for all medication(s) that must be administered during school hours, including asthma inhalers, EpiPens, benadryl, and insulin. A separate form is required for each individual medication and must be signed and dated by both physician and parent/guardian. This medical form must be completed even if your child is approved by the doctor and the school nurse to self-carry and self-administer his/her asthma inhaler or EpiPen. All medication must be in its original package with the pharmacy label.