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NY Public School Physical Exam Form

NY Public School Physical Exam Form 2026

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4.8 out of 5

42 votes

The document is a required New York State School Health Examination Form that must be completed by a private healthcare provider or school medical director. It outlines the necessary health assessments for students, including physical exams for new entrants and specific grades, as well as screenings for vision, hearing, and other health concerns. The form collects student information, health history, physical examination results, and any restrictions for participation in sports or physical activities. It also includes sections for medication orders and immunization records.

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Click ‘Get Form’ to open the NY Public School Physical Exam Form in the editor.
Begin by filling out the 'STUDENT INFORMATION' section. Enter the student's name, affirmed name (if applicable), date of birth, sex assigned at birth, school, gender identity, grade, and exam date.
Move to the 'HEALTH HISTORY' section. Check any applicable diagnoses and provide additional information as needed. Ensure to attach any relevant medication or treatment orders.
Complete the 'PHYSICAL EXAMINATION/ASSESSMENT' section by entering height, weight, pulse, blood pressure, and other required tests. Note any abnormal findings.
Fill out the 'SCREENINGS' section for vision and hearing tests as required for specific grades. Record results accurately.
In the 'FOR PARTICIPATION IN PHYSICAL EDUCATION/SPORTS' section, indicate if there are any restrictions on participation in sports or activities.
Finally, have a healthcare provider complete their information and signature before submitting the form back to your child’s school health office.

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Versions	Form popularity	Fillable & printable
2023	4.8 Satisfied (42 Votes)
2020	4.5 Satisfied (37 Votes)
2018	4.8 Satisfied (41 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Do schools require physicals every year?

While not all schools require annual school physicals, all health experts recommend them to make sure your child is maintaining healthy growth and development, discuss safety, manage medications, and detect health concerns early.

What do they check for in a school physical?

Details regarding dietary supplements, medications or prescriptions for your child. Evaluation of flexibility, joints, posture and strength. General physical exam to check the ears, nose, throat, heart, lungs and abdomen. Height and weight measurement.

What shots are required for school in NY?

In this case, the required sports physicals will most likely begin in seventh grade. Other times you might want to get a sports physical for your child or consult the pediatrician before they a new sport because of existing health issues or a history of certain conditions.

What grades need sports physicals?

What are the requirements for elementary physical education? Grades K-3 are required to have daily physical education for a minimum total of 120 minutes per week. Grades 4-6 are required to have physical education three days per week for a minimum total of 120 minutes per week.

What grades does NYS require physicals?

Note: NYSED requires a physical exam for new entrants and students in Grades Pre-K or K, 1, 3, 5, 7, 9 11; annually for interscholastic sports; and working papers as needed; or as required by the Committee on Special Education (CSE) or Committee on Pre-School Special education (CPSE).

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