Health Forms - Athletics
City School District of New Rochelle's Athletics Program requires students to be medically cleared by their School Health Office prior to try-outs or participation in any sport.
Complete and return the following forms to you child's School Nurse:
|
Name of Form |
All Students |
Specific Students |
|
Health Examination Form |
X Completed by your own Healthcare Provider or School Healthcare Provider |
|
|
Interval Athletic Health History |
X Completed and signed by your Parent/Guardian |
|
|
Head Injury/Concussion Information Sheet (English/Spanish)
|
X Read and signed by Student Athlete and Parent/Guardian |
|
|
Medication Administration Form |
|
X Student requires medication during school, practice or events. |
|
Medication Attestation Form for Independent Use |
|
X Student requires medication AND can self-carry and self-administer medication. |
To best ensure the health and safety of your student athlete during each athletic season, please alert the Health Office immediately, if your child:
- Sustained an injury requiring medical treatment
- Is hospitalized
- Requires surgery
- Is diagnosed with a serious illness
- Missed school for greater than 5 days
For information regarding the Health Services requirements, please call:
NRHS Health Office: 914-576-4575
ALMS Health Office: 914-576-4331
IEYMS Health Office: 914-576-4368
For information regarding the Athletics Program, please call:
Athletic Department: 914-576-4586
Forms
UNDER CONSTRUCTION