State issues new health exam form

School Health News

New York state has released a new School Health Examination Form that parents and doctors should use beginning July 1. Download the new form from  the State Education Department website

While the state considers the 2018-19 school year to be a transition year when schools can accept ANY completed health exam form, the new required Health Examination Form will be the ONLY form accepted in the 2019-20 school year.

Medical professionals are expected to complete the form when doing physical exams for students entering a new school at any point during the year, as well as for:

  • Students entering pre-kindergarten, kindergarten, and grades 1, 3, 5,7, 9 & 11
  • Students who play interscholastic sports
  • Students requesting working papers
  • Students who require them by their Committee on Special Education (CSE) or Committee on Pre-School Education (CPSE)

The form may be printed and completed by hand, or completed electronically by saving it to a computer, entering information into the fillable fields and saving a copy for each student.

Please bring the required form with you to your child’s next physical exam so it can be completed during the appointment. Be aware that some medical offices charge an additional fee for completing forms after the visit as this may be considered an additional service.

If you have any questions regarding this form or state health regulations, please contact the nurse’s office at your child’s school.