HHH 2019 FALL ATHLETIC PHYSICAL INSTRUCTIONS

Please read carefully, and follow necessary steps to complete the proper paperwork mandatory for any student considering a fall sport.

The schedule for our District Nurse for this summer is as follows:

SCHOOL	DATE / TIME	NURSE
Signal Hill Elementary School (631) 592-3701	July 1 – July 26, 8:30 AM – 11:45 AM Monday – Thursday ONLY EXCEPTIONS: Open Friday, July 5, because we are closed July 4. The last week will be in session Monday – Friday	Cathy Blachly, RN
Central Office Room 250 (631) 592-3374	July 29 – August 23, 9:00 AM – 11:45 AM Monday - Friday	Stephanie Gavras, RN
High School East (631) 592-3101 *ONLY FOR HS EAST & WEST HOLLOW STUDENTS*	August 19 & August 20, (Monday & Tuesday) 7:30 AM – 11:45 AM August 26 & August 27, (Monday & Tuesday) 7:30 AM – 11:45 AM	Diane Schebece, RN
High School West (631) 592-3201 *ONLY FOR HS WEST & CANDLEWOOD STUDENTS*	August 19 & August 20, (Monday & Tuesday) 7:30 AM – 11:45 AM August 26 & August 27, (Monday & Tuesday) 7:30 AM – 11:45 AM	Stephanie Gavras, RN

Private MD forms are acceptable. All forms must be picked up from, completed, and returned to the school nurse. Athletic Health Forms can also be downloaded from HHH website under the Athletics page. All forms must be handed directly to our summer school nurses. No one at any building level other than RN can collect these papers. Return the forms only to the school nurse during the hours listed above. If you have ANY questions, please call the above telephone numbers and ONLY during designated hours. Voice messages

are irretrievable.

**** HS FOOTBALL STARTS on 8/19/19. ALL OTHER HS FALL SPORTS

START on 8/26/19. MS FALL SPORTS START ON 9/4/19

Medical Forms

• Interval Health History Form (click HERE)
  • Hand to coach on the first day of practice (FALL ONLY)
• Pre-Participation Form (click HERE)
  • Filled out by parent when the physical is completed and reviewed/signed by doctor
• Student Health Exam form (click HERE)
  • School Physical form - must be used by our school doctor and ALL private physicians (once a school year)
• WHITE CARD (click HERE)
  • Must be completed and filled out with the Sports Physical Form

MEDICAL CLEARANCE FOR INTERSCHOLASTIC SPORTS

Important Information regarding Athletic Physicals

As per the New York State Education Department, "A student who may engage in interschool competition shall receive an adequate health examination and healthy history update when required, and may not practice or participate without the approval of the school medical officer." Therefor to be in compliance with the NYS Education Department, if you choose to bring your child to a physician who is not a School District Doctor, we must have your child’s physical signed off by a Board of Education Approved School Medical Officer.

Important SELF-CARRY INFORMATION

Students that require Epi pens, inhalers and other medications such as insulin and glucagon are not permitted to participate without written permission to self-carry by their parent AND doctor.

Click HERE for the Medication Self-Carry Form

All students interested in participating in an interscholastic athletic program must receive medical clearance prior to tryouts. Before you make an appointment with any physician for an examination, you should speak with our school district nurse about regulations and guidelines that must be followed.

Only the Half Hollow Hills YELLOW Pre-Participation Form and Physical Examination Form will be used for medical clearance. All forms must be picked up from the nurse, completed then returned to the nurse. Other forms from private physicians will not be accepted. No faxed or attached physical forms will be accepted.

Do not return any medical clearance forms to the Athletic Office or the Pupil Personnel Office @ Central Office. Also be advised that no one at the building level other than the school nurse will assume responsibility for these forms. Return the forms only to the nurse.

Fall Sports 2019 Start Dates:

Football - August 19

All other V & JV sports - August 26

Winter Sports 2019-2020 Start Date: November 11

Spring Sport 2020 Start Date: March 9

Fall Physical Dates: Boys 5/21; Girls 5/29

Click HERE for information about dropping off your child's athletic medical clearance forms

• Interval Health History Form (click HERE)
  • Hand to coach on the first day of practice (FALL ONLY)
• Pre-Participation Form (click HERE)
  • Filled out by parent when the physical is completed and reviewed/signed by doctor
• Student Health Exam form (click HERE)
  • School Physical form - must be used by our school doctor and ALL private physicians (once a school year)
• WHITE CARD (click HERE)
  • Must be completed and filled out with the Sports Physical Form

MEDICAL CLEARANCE FOR INTERSCHOLASTIC SPORTS

Important Information regarding Athletic Physicals

As per the New York State Education Department, "A student who may engage in interschool competition shall receive an adequate health examination and healthy history update when required, and may not practice or participate without the approval of the school medical officer." Therefor to be in compliance with the NYS Education Department, if you choose to bring your child to a physician who is not a School District Doctor, we must have your child’s physical signed off by a Board of Education Approved School Medical Officer.

Important SELF-CARRY INFORMATION

Students that require Epi pens, inhalers and other medications such as insulin and glucagon are not permitted to participate without written permission to self-carry by their parent AND doctor.

Click HERE for the Medication Self-Carry Form

All students interested in participating in an interscholastic athletic program must receive medical clearance prior to tryouts. Before you make an appointment with any physician for an examination, you should speak with our school district nurse about regulations and guidelines that must be followed.

Only the Half Hollow Hills YELLOW Pre-Participation Form and Physical Examination Form will be used for medical clearance. All forms must be picked up from the nurse, completed then returned to the nurse. Other forms from private physicians will not be accepted. No faxed or attached physical forms will be accepted.

Do not return any medical clearance forms to the Athletic Office or the Pupil Personnel Office @ Central Office. Also be advised that no one at the building level other than the school nurse will assume responsibility for these forms. Return the forms only to the nurse.