Physical Form

Beginning 7/1/18, all New York State public school students must have a health exam when they enter school as a new entrant, and in Pre-K or Kindergarten, and in grades 1, 3, 5, 7, 9, and 11.  These examinations should be completed on the New York State School Health Examination Form:  www.p12.nysed.gov/sss/documents/ReqNYSSchoolHealthExamForm.pdf 

The required NYS School Health Examination Form was developed to provide consistency throughout the state in the health care information provided to schools.  We understand that your medical provider's office may not yet be aware of the change, so if you have already had a physical examination completed for the 2018-2019 school year on a different form, the school will accept the physical on that form.

However, starting in the 2019-2020 School Year, only the Approved NYSED School Health Examination Form will be accepted.

It is the fundamental policy of the Board of Education to have medical examinations of pupils attending public schools made by the family's private physician whenever possible.  This policy recognizes the fact that the family physician is the most familiar with the health problems of the pupil and best able to institute treatment when needed.

If the examination form is not submitted to the School Nurse, the School Physician (Medical Director) will do a health appraisal on all new entrants and in Pre-K or Kindergarten, and in grades 1, 3, 5, 7, 9, and 11. 

 

Download the physical exam form (to be completed by a medical provider):