Get Pe Modification Form - Riverside Unified School District - Rusdlink

Filling out the PE Modification Form for the Riverside Unified School District is an essential step for ensuring that students with medical disabilities or injuries can participate fully in physical education classes. This guide provides a comprehensive overview, with clear instructions to help you accurately complete the form online.

Follow the steps to fill out the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the student’s information in the relevant fields, including their name, date of birth, grade, and school. Ensure that all details are accurate as this information is crucial for processing the modifications.
3. Locate the section that notes the medical disability or injury affecting the student. Clearly state the diagnosis provided by the physician to ensure that it is documented properly.
4. For each appropriate type of activity, review the options under the categories of flexibility/strengthening and cardiovascular/aerobic. Check ‘YES’ or ‘NO’ according to the physician’s advice for each movement listed.
5. In the specified area, indicate any specific recommended modifications based on the physician's guidance. This information is essential to understand the limitations and necessary adaptations for the student.
6. Fill in the date range during which restrictions or modifications will be in effect. This ensures everyone is aware of the time frame for these adjustments.
7. Obtain the physician’s signature and printed name or stamp, as well as their contact information including phone number and fax number. This validation is important for the authenticity of the form.
8. If applicable, ensure that the parent or guardian provides their signature and date, granting permission for school personnel to communicate with the physician as necessary.
9. Submit the completed form to the school health office. It’s important that any medical information is verified by the district nurse.
10. Once the form is submitted, stay informed about any changes or modifications in the student's physical education activities by communicating with the school.

Complete the PE Modification Form online today to ensure your student's participation in physical education is appropriately supported.