Get Nysed Interval Health History Form

Filling out the NYSED interval health history form online is a crucial step in ensuring the health and safety of students participating in athletics. This guide will provide you with comprehensive, step-by-step instructions to help you complete the form with confidence.

Follow the steps to accurately complete the form.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by filling in the student’s name, date of birth, school name, age, and grade level. Ensure that all fields are filled accurately to guarantee proper identification of the student.
3. Indicate the level of participation by checking the appropriate box for Modified, Freshman, JV, or Varsity. This section helps to identify the type of competition the student will be involved in.
4. Next, indicate if there are any limitations by checking 'Yes' or 'No'. If ‘Yes’ is selected, be prepared to provide further details in the appropriate section provided on the form.
5. Enter the date of the last health exam and the date the form is completed. This information is essential for ensuring that health assessments are current.
6. Complete the health history section by indicating any relevant health concerns, medical conditions, or past surgeries. Use the response fields available to answer 'Yes' or 'No' for each question.
7. If applicable, provide details for any medications that need to be taken during practices or events. Contact the school for guidance on proper paperwork if medications are involved.
8. Fill out the allergy section, indicating any life-threatening allergies and whether an epinephrine auto-injector is carried.
9. Proceed to the concussion and head injury history and respond truthfully to the questions. If any answers are 'Yes', write further explanations as required.
10. Continue through the remaining sections covering family history, heart health, injury history, skin health, stomach health, and diet. Provide accurate and clear responses.
11. Finally, review the entire form for accuracy, make any necessary corrections, and once completed, you can save changes, download, print, or share the form as needed.

Take the next step and complete your documents online for a smooth and efficient process.