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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. -
Sudden Cardiac Death in the Young Athlete/ Required Parent Guardian Signature sheet
Parent/Guardian must sign that they have read the Sudden Cardiac Death in the Young Athlete. This signature form must accompany the sports physical when it is submitted. -
Sports Related Eye Injuries- Parent Fact Sheet
Information sheet on prevention and management of common eye injuries associated with sports in school aged children. -
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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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. -
Authorization for Administration of Prescription Medication
This form is required in order for the nurse to administer prescription medications to a student. Must be completed by the parent and prescribing physician prior to being submitted. All prescription medications must be presented in the original labeled container. Please request an additonal"school bottle" container from the pharmacist if long term administration is expected.
