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 PRE-PARTICIPATION / INTERVAL ATHLETIC

HEALTH HISTORY FORM


 

 

As per NYSED regulation, The parent/guardian of athlete candidates must complete the PreParticipation/Interval Athletic History form.  The PreParticipation/Interval Athletic History Form must be completed BEFORE the Copiague Public Schools Medical Director can complete a physical. 

Athletes receiving physicals from a private health care provider must return the PreParticipation/Interval Athletic History form with the physical form.

 

The PreParticipation/Interval Athletic History form must be signed and returned to the athletic coach prior to AUGUST 5th.

Summer athletic physicals will be done at the Walter G. O'Connell Copiague High School on AUGUST 6th. 

All forms are available at the links below. 

Please note, PreParticipation/Interval Health Forms must be completed prior to participation in each athletic season.  

 

FORMS: 

PreParticipation/Interval Athletic Health Form (English) 

PreParticipation/Interval Athletic Health Form (Spanish)

Athlete Permission Slip (English)

Athlete Permission Slip (Spanish)  

Copiague Physical Examination Form

 

PROGRAM GUIDES: