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Fall 2019 Physicals for Students

SPORTS PHYSICALS 

A physical examination is required each year prior to participation in any athletic activity sponsored by the Nebraska School Activities Association.  The physical examination is valid for one year from the date of the exam and may be performed any time after May 1 prior to the next school year.  These physicals are for all students entering grades 7-12 who will participate in sports for the 2019-2020 school year.  Payment of $50.00 is required at the time of service.  You will need to use the school physical form as your verification.  

 

Parent Consent and Clearance Form

SEVENTH GRADE PHYSICAL

A physical examination is required upon entry into 7th grade according to Nebraska LB59 law.  The physical may be performed up to 6 months prior to the beginning of the school year in which your child is enrolled in 7th grade. 

The clinic is requesting a parent/guardian to please accompany the student to the exam.  If the student plans to participate in sports, the sports physical will be completed at the same time the 7th grade physical is performed.

All 7th grade students are required to have three doses of the Hepatitis B vaccine, two doses of MMR vaccine and two doses of the Varicella vaccine or a history of having chicken pox. Immunizations are available at the clinic or for a reduced cost at area immunization clinics.  

Once the physical exam and immunizations are completed, the original physical form(s) should be returned to the school.  This can be done any time prior to the first day of school.  The cost of this physical is $80.00.  Immunizations are not included in this charge.  

KINDERGARTEN PHYSICAL 

A physical exam is required upon entry to kindergarten according to Nebraska LB59 law.  This physical may be performed up to six months prior to the beginning of the school year in which your child is enrolled in kindergarten. 

The following immunizations are required upon entrance to kindergarten:  two doses of MMR, 3 doses of Hepatitis, at least 3 doses of DPT and IPV, and two doses of the Varicella vaccine (if your child has not had the chicken pox).  Please bring your child’s immunization records at the time of the physical so we can make sure their immunizations are current.  Immunizations are available at the clinic or at area immunization clinics for a reduced cost.  

Once the physical exam and immunizations are completed, the original physical form(s) should be returned to the school.  This can be done any time prior to the first day of school.  The cost of this physical is $80.00.   Immunizations are not included in this charge.

 

Kindergarten/7th Grade Physical Form

 

 

Physicals can be scheduled at Henderson Health Care between 8 a.m. and 5 p.m. Monday through Friday.  Payment is required  at the time of service.

Physical forms are available in the high school office, at Henderson Health Care, or on the school web page  www.heartlandschools.org under the “For Students” tab.