Child-Adolescent-Health-Examination-Form-New-York-1 2025

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Physical Exam Forms are required for students entering Kindergarten, Grades 1, 3, 5, 7, 9, and 11. Forms: In ance with new NYS regulations, only the Required NYS School Health Examination Form or an electronic health record equivalent can be accepted by the school for student physical exam forms.
No pelvic or rectal exam is required routinely. Gynecological Exam: A gynecological exam may include a breast and/or pelvic exam, as well as a pap smear depending on your age and risk. Breast Exam: Your provider will use the pads of their fingers to check the entire breast, including the underarm and collarbone.
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).

Key Facts About the Preschool/Kindergarten Physical Form

Mandatory Health Examination

Lead Screening Requirement

Vision and Hearing Assessments

Health History Documentation

Emergency Condition Awareness

Physical Education Restrictions

Ongoing Medical Observation

Mandatory Health Examination

A pre-kindergarten health examination by a primary health care provider is essential for the child's health and helps schools adapt their programs to individual needs.

Lead Screening Requirement

The form includes a lead screening section, which is a state law requirement to ensure children are not exposed to harmful levels of lead.

Vision and Hearing Assessments

The form requires assessments of vision in both eyes and hearing capabilities, ensuring any impairments are identified early.

Health History Documentation

Parents must provide detailed information about any significant health history, including chronic illnesses, surgeries, or conditions that may require special attention.

Emergency Condition Awareness

The form prompts parents to disclose any conditions that could result in emergencies, such as asthma or allergies, ensuring proper preparedness at school.

Physical Education Restrictions

Parents are asked if their child has any restrictions for physical education classes, allowing schools to accommodate students' needs.

Ongoing Medical Observation

The form includes questions regarding whether the child should remain under periodic medical observation for emotional, mental, or physical conditions.

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