Sunday, May 19, 2013
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"Healthy Children Are Better Learners"
 
Sharon Wade
 
Office
(402) 557-2702
Fax
(402) 557-2706
"Healthy Children Are Better Learners"
 
Sharon Wade
 
Office
(402) 557-2702
Fax
(402) 557-2706


Physical Exams

The Nebraska State School Law, in part, requires that each student have a physical examination and a vision examination within six months prior to entrance into school, or upon transfer into the school district from a district outside of the state. A physical exam is also required for seventh grade, without the vision exam requirement. The vision exam form is included on the physical exam form, and may be completed by a health care provider or an optometrist.

A complete dental check-up is strongly encouraged at this time also.

If you do not wish to provide evidence of a physical exam and/or a vision exam, a signed statement waiving this requirement must be submitted to the school by November 1 (or 60 days after enrollment). Please note, if your child will be participating in competitive athletics, a physical examination by a licensed health provider is required and signing a waiver does not satisfy this requirement.

Physical Education Restrictions/Exemptions

Middle or high school students who have restrictions for participation in PE must have a health care provider's order on file, delineating what the restrictions are. Students who cannot participate because of health related concerns must have a health care provider's note on file exempting them from the class.

The Nebraska State School Law, in part, requires that each student have a physical examination and a vision examination within six months prior to entrance into school, or upon transfer into the school district from a district outside of the state. A physical exam is also required for seventh grade, without the vision exam requirement. The vision exam form is included on the physical exam form, and may be completed by a health care provider or an optometrist.

A complete dental check-up is strongly encouraged at this time also.

If you do not wish to provide evidence of a physical exam and/or a vision exam, a signed statement waiving this requirement must be submitted to the school by November 1 (or 60 days after enrollment). Please note, if your child will be participating in competitive athletics, a physical examination by a licensed health provider is required and signing a waiver does not satisfy this requirement.

Physical Education Restrictions/Exemptions

Middle or high school students who have restrictions for participation in PE must have a health care provider's order on file, delineating what the restrictions are. Students who cannot participate because of health related concerns must have a health care provider's note on file exempting them from the class.

Health Services Forms
 FormDescription of FormLink
Physical Examination CardEntrance to School or out of state transfersView
Tarjeta de Examen FísicoEntrada a la escuela o transferencias de fuera del estadoView
School Vision Evaluation Report FormEntrance to School or out of state transfersView
Forma de Reporte de Evaluación de la Vista Entrada a la escuela o transferencias de fuera del estadoView
7th Grade Forms
 FormDescription of FormLink
Health Exam Card, Preparticipation History, Athletic Insurance, NSAA/OPS Consent, Head Injury/Concussion Acknowledgement and Fact SheetHistory Form to be completed/signed by student before the physical with review and sign-off by parent/guardian for possible future athletic participation. Health care provider completes Health Exam Card and reviews History Form. Insurance, Consent, Head Injury/Concussion forms completed by student and parent/guardian for athletic participation in an after-school sport. View
Tarjeta de Examen de Salud, Historial de pre participación, Seguro atlético, Consentimiento NSAA/OPS, Hoja de Información y Reconocimiento de Conmoción/lesión CerebralEl formulario del historial debe ser completado/firmado por el estudiante antes del físico con la revisión y firma del padre para posible participación deportiva en un futuro. El proveedor del cuidado de salud completa la tarjeta de salud y revisa el formulario del historial. Seguro, consentimiento, formulario de Conmoción/ lesión Cerebral completado por el estudiante y padre para la participación en un deporte después de la escuela. View
8th - 12th Grade Forms
 FormDescription of FormLink
Preparticipation History, Physical Exam, Athletic Insurance, NSAA/OPS Consent, Head Injury/Concussion Acknowledgement, Fact Sheet History Form to be completed/signed by student with review and sign-off by parent before athletic participation examination. Health care provider completes Physical Exam Form and reviews History Form. Insurance, Consent and Head Injury/Concussion forms completed by student and parent/guardian. This is completed for participation in after-school sports for grades 8 thru 12.View
Historial de pre participación, Examen Físico, Seguro atlético, Consentimiento NSAA/OPS, Hoja de Información y Reconocimiento de Conmoción/lesión Cerebral.El formulario del historial debe ser completado/firmado por el estudiante con la revisión y firma del padre antes de participar en el examen deportivo. El proveedor del cuidado de salud completa el formulario del Examen Físico y revisa el formulario del historial. Seguro, consentimiento, formulario de Conmoción/ lesión Cerebral completado por el estudiante y padre para la participación en un deporte después de la escuela para los grados 8 al 12. View

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