Mountain Lakes High School Medical Update Form

by
Sport Physicals are valid for 365 days.  According to the NJDOE Administrative Code - Chapter 16-6A:16-2-2H1, each student whose medical examination was completed more than 90 days prior to the first day of practice shall provide a Health History Medical Update of medical problems experienced since the last medical examination or annual sport physical.  The Medical Update is a one page statement documenting the student's health status since the last submitted Annual Sport Physical. No student will be permitted to participate until this Medical Update form is completed by a parent and submitted to the school nurse. There is no need to see a physician/provider to complete this document, a parent completes the form.  When the school nurse reviews the Medical Update, if a Medical Clearance is required, the parent will be contacted.
Health History Update 2014.pdf, 512.28 KB; (Last Modified on June 1, 2014)
CLOSE