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Health Office

Health Policy

Athletic Forms

Health Forms

The Titusville Academy Athletic Participation  Policy and Forms

Parents/Guardians of Titusville Students,

Students who wish to participate on a sports team MUST have had a physical exam within the last 12 months.  Students will NOT be permitted to participate until our school doctor has performed a physical exam or reviewed a copy of a physical from home.

Also, an updated health history is required to be eligible (to be completed by parents-NO MD signature required).

Any students who require medication scheduled or as needed (such as inhalers) MUST have updated supply of med AND MD Order sheets completed by physicians from home

ALL Forms need to be completed and returned in a timely manner.

The school physician will be scheduled upon receipt of forms.

Please call me with any questions or concerns at (609) 737-7733 ext 151.

Thank you,

Susan Yasunas, RN

 

Athletic Participation Forms:

Parent Notice Regarding Physical

Annual Athletic Pre-Participation Physical Exam Form-PART A

Annual Athletic Pre-Participation Physical Exam Form-PART B

Health History Update

 



86 River Drive - Titusville - New Jersey - 08560 - 609-737-7733