Jaclyn Lussier » Sports Physical Information

Sports Physical Information

Attention Parents/Guardians:

**Please refer to the Sports Physical Checklist located toward the bottom of this page for more information in regard to requirements for the packet and to ensure all necessary information is submitted to the nurse** 

 

Medical Eligibility Form: This is the ONLY form that is submitted to the school nurse, in addition to the three Sign-off Sheets. Please ensure the Physician both signs and Stamps this form, includes the date of exam, includes the status of clearance for participation, AND signs that the have completed the Cardiac Professional Development Module.

 

Sign-Off Sheets: There are THREE sign-off sheets that should be signed and returned to the school nurse, with the Medical Eligibility Form. 

*Sudden Cardiac Death

*Opioid Use/Misuse 

*Concussion 

 

Health History Update Questionnaire: Each season (Fall, Winter, Spring) a HHUQ will be required to be completed ONLINE for participation in any sport. This form will be send to your email via school messenger a few weeks prior to the beginning of sports. The form will also become available on the school Home Page at this time. 

The HHUQ online form also acts as a sign-up for the sport. Please ensure this form is completed in its entirety. Your child will NOT be signed up for the sport until this form is completed. 

 

*FORMS WILL BE RETURNED IF THERE IS ANY MISSING INFORMATION AND CLEARANCE FOR PARTICIPATION WILL BE DELAYED* Please submit by the deadline. If you're unsure if your child wants to participate in sports, it is better to complete one and submit it just in case, rather than waiting until the last minute. 

 

Submit a paper copy only! No email copies will be accepted!


Attention Students:

It is your responsibility to check with the health office to determine if your physical is valid. Sports physicals are valid for 365 days from the date of exam, and must fall within 365 days of the first day of sports beginning. 

If you wear glasses or contacts, please remember to bring them with you to your physical examination.

 

REMINDER: The Scholastic Student-Athlete Safety Act (N.J.S.A. 18A:40-41.7) mandates that sports physicals may only be completed by a licensed physician, advanced practice nurse or physician’s assistant who has completed the Student-Athlete Cardiac Assessment professional development module. It is recommended that you verify that your medical provider has completed this module before conducting a student’s sports physical.

 

Sports and Exercise : Spotlight on Statistics: U.S. Bureau of Labor  Statistics

APPROVAL FOR PARTICIPATION IN SPORTS-
Once all forms are submitted to the nurse, the district physician will review all paperwork and provide written notification of approval or disapproval of the students participation in sports. This process can take up to two-weeks. Please submit sports physicals on time! 
 
All necessary information (as mentioned above) must be on file with the health office before the sports physical can be sent to the district physician for approval. This information will be considered in the determination of clearance by the district physician. 

The sports programs are provided by the Howell Township Police Athletic League.

 
Howell Township Police Athletic League
Southard School
115 Kent Road
P.O. Box 713
Howell, NJ 07731
Phone: 732-919-2825
 
 
Notice Regarding Physical Examinations

School sports are offered during the fall, winter and spring seasons.
  • Fall sports include: Boys’ Soccer, Girls’ Soccer, Girls’ Field Hockey, and Cross Country
  • Winter sports include: Boys’ Basketball, Girls’ Basketball, Wrestling, and Cheerleading
  • Spring sports include: Boys’ Baseball, Girls’ Softball, and Track and Field
 
In order to participate in any sport, the student must have a current Sports Physical completed by their physician on the approved NJ State form, and on file with the nurse. If any portion of the history and physical form is incomplete, it will be returned as required by state law. The completed sports physical is then reviewed and signed by the school physician.

Late submission of Sports Physical Forms may result in delay or ineligibility to participate.

The student’s parent must also complete the district Medical Update forms for participation prior to each sport season in which the student wishes to participate. These forms will be sent out through school messenger two weeks prior to each season.

If you have any questions regarding forms for sports or eligibility dates, please contact your school nurse prior to deadline dates.