- Union Township Schools
- Middle School Health and Sports Physical Forms
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Sports Physical Form **Vision screening required as part of exam
Pre-Participation Athletic Physical forms updated 2015.pdf 192.22 KB (Last Modified on October 24, 2017) -
Sports Participation Parent Permission Form
This permission form should be submitted with the sports physical, and again for each subsequent sport the student wishes to participate in.
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Sudden Cardiac Death in the Young Athlete- Required Parent/Guardian Reading
A pamphlet discussing sudden Cardiac Death in the young athlete must be read by the parent/guardian of every prospective student athlete, and a signature page returned to document this. -
Student-Athlete Safety Act Parent Info Sheet
All physicians, APN's or PA's that complete the Pre-Participation Health Exam (Sports Physical) must have completed the new Student-Athlete Cardiac Assessment professional development module, and this must be noted on the appropriate place on the physical form.
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Sports Related Eye Injuries- Parent Fact Sheet
Information sheet on prevention and management of common eye injuries associated with sports in school aged children. -
Epinephrine Autoinjector Packet
This packet contains a letter from the school physician as well as necessary forms for self administration/nurse administration of an Epinephrine Auto-injector for anaphylaxsis.
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Sixth Grade Entry-Required Immunizations
Grade_Six_Required_Immunizations__parent_letter_2019.pdf 185.06 KB (Last Modified on August 27, 2019)