NY Public School Physical Exam Form 2025

1. Click ‘Get Form’ to open the NY Public School Physical Exam Form in the editor.
2. 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.
3. 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.
4. Complete the 'PHYSICAL EXAMINATION/ASSESSMENT' section by entering height, weight, pulse, blood pressure, and other required tests. Note any abnormal findings.
5. Fill out the 'SCREENINGS' section for vision and hearing tests as required for specific grades. Record results accurately.
6. In the 'FOR PARTICIPATION IN PHYSICAL EDUCATION/SPORTS' section, indicate if there are any restrictions on participation in sports or activities.
7. 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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