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NYS Health Care Provider Release for Wrestler with Skin Lesion

NYS Health Care Provider Release for Wrestler with Skin Lesion 2026

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4.4 out of 5

34 votes

The document outlines a physician release form developed by the NFHS Sports Medicine Advisory Committee for wrestlers with skin lesions to ensure safe participation in wrestling. It emphasizes the need for guidelines to protect athletes from communicable skin disorders, establish consistent management among healthcare providers, and support medical decisions regarding participation. The form includes treatment guidelines for various skin conditions and clarifies that non-contagious lesions may be covered for participation, while contagious ones require specific treatment and documentation.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the 'Date of Exam' in the designated field. Ensure accuracy as this is crucial for record-keeping.
In the 'Name' section, print your name clearly. Follow this by filling out your 'School' information.
Provide a detailed 'Diagnosis' of the skin lesion(s) and specify their 'Location AND Number of Lesion(s)'.
List any 'Medication(s) used to treat lesion(s)' and indicate when treatment started by filling in the 'Date Treatment Started' and time.
Select one of the two options regarding contagion status by checking the appropriate box before signing.
Finally, ensure that you sign and date the form, and include your printed name and office details for verification.

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Versions	Form popularity	Fillable & printable
2023	4.4 Satisfied (34 Votes)
2012	4.5 Satisfied (31 Votes)
2011	4 Satisfied (39 Votes)

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