Student Athletic Health Forms

Welcome to the Student-Athlete Health Form Page!

Winter Sports Registration:  Online registration will open for winter sports on Tuesday, October 19th. 


Registration for the following sports will be open:


High School: Basketball, Bowling, Cheerleading, Track/Field, Wrestling

Middle School: Basketball, Wrestling


You must complete the online registration process before handing in health related documents to the school nurse. Registration and submission of the necessary paperwork is required for participation before the first practice. Health related paperwork should be submitted directly to the school nurse.


Online Registration/Online Forms: Online Registration/Online Forms

State Physical Form: State Physical Form

Health History Update Form: Health History Update Form


 

In order for a Student-Athlete to participate in High School or Middle School sports, they must be fully cleared.  In order to do so, there are two sets of Student-Athlete Health Forms that must be submitted. Please note, online forms and registration must be completed before submitting paperwork to the nurse.

#1: the Athletic Physical and the Health History Update.
These two forms must be handed in to the school nurse in HARD COPY format.

The Athletic Physical Form (found in the link below) must be newly completed every year.  The Athletic Physical Form is good for 365 days.  When a NEW physical is submitted to the nurse, there is no need for a Health History Update to be handed in.
State Athletic Physical Form

The Health History Update Form (found in the link below) must be completed EVERY ATHLETIC SEASON when a student-athlete's physical form is passed 60 days of being completed.
Health History Update Form



#2: The Electronic Clearance Forms.
These forms include: (a) Parent Consent Form, (b) Steroid Testing Form, (c) Concussion Policy Form, (d) Sudden Cardiac Arrest Pamphlet sign-off, and (e) Opioid Drug Use Pamphlet sign-off.

These 5 forms
MUST BE SUBMITTED EVERY SEASON.  As of the 2016-2017 athletic season, we are requiring all athletes/parents to submit these 4 forms electronically.  Doing so is very simple, just follow these easy steps:
*First, click on this link - 
http://mphs.powermediallc.org
*Next, click on "Sports Participation Packet" in the top right corner.
*Then, choose "new user" if you've never completed online forms, or "current user" if you've complete the online forms in the past.
*Finally, follow the prompts to complete all the necessary forms electronically.


By signing off on The Sudden Cardiac Arrest Pamphlet form, you are agreeing that you've read over the information found in this pamphlet:
Sudden Death in Young Athletes Pamphlet

There is also a sign-off form regarding Sports Related Eye Injuries.  By signing off on the Sports Related Eye Injury form, you are agreeing that you've read over the information found in this pamphlet:
Sports Related Eye Injury Pamphlet

According to Chapter 16 of the New Jersey Administrative Code Title 6A adopted by the State Department of Education, an annual sports physical form must be completed.  Please click on the following link for further information.  IMPORTANT NOTICE ABOUT ATHLETIC PHYSICALS

All physical forms and consent forms are to be returned to the school nurse.
Paperwork should not be submitted to the Athletic Director, or any coach or trainer.


NJSIAA_Banned Drug Classes

 

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