Department of Health and Human Services Waiver of Physical 2026

1. Click ‘Get Form’ to open the Department of Health and Human Services Waiver of Physical in the editor.
2. Begin by entering the school name in the designated field if desired. This helps identify where the waiver is being submitted.
3. In the section labeled 'As a Parent/Guardian of', input your child's name along with their Student ID# for proper identification.
4. Fill in the School Name and Grade fields to specify your child's current educational status.
5. Review the requirements listed under Nebraska Revised Statutes 79-214 and 79-220. Check the boxes next to any requirements you wish to waive, such as physical examination or visual evaluation.
6. Sign in the designated area for Parent/Guardian signature and include the date to validate your request.
7. Use the comments section for any additional notes or information you wish to provide regarding your waiver request.

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