MEDICAL ELIGIBILITY FOR SPORTS

• THE MEDICAL ELIGIBILITY FORM MUST BE COMPLETED BY THE HEALTHCARE PROVIDER, AND SUBMITTED TO THE SCHOOL DISTRICT.  THIS IS THE ONLY FORM THAT IS REQUIRED TO BE SUBMITTED TO THE NURSE’S OFFICE. The Medical Eligibility Form should be in the ORIGINAL form. Please do NOT EMAIL, PHOTOCOPY or FAX.
• Medical eligibility is valid for 365 days and  must be current on the day of the first practice to be considered valid. Please be aware that medical eligibility is based on the date of exam, not the date the form was completed by the physician.
• ONLY the medical eligibility form is submitted to the school district.  The remaining physical examination portion should be kept on file with the healthcare provider performing the exam. 

EACH SEASON:

□ Verify that your child’s physical examination is up to date and that you have submitted the MEDICAL ELIGIBILITY FORM to the nurse’s office. 

□ Complete the Health History Update Questionnaire in the FORMS SECTION of the Genesis Parent Portal.

□ Complete additional release forms via the Parent Genesis Portal.  Review and electronically sign the release forms each season during the registration process.

• Review the Opioid Use/Misuse Fact Sheet and video with your student athlete and electronically sign the acknowledgment form in the Genesis Parent Portal each season.
• Review the Sudden Cardiac Death in Young Athletes Pamphlet with your student athlete and electronically sign the acknowledgment form in the Genesis Parent Portal each season.
• Review the Sports-Related Concussion and Head Injury Fact Sheet with your student athlete and electronically sign the acknowledgment form in the Genesis Parent Portal each season.
• Complete the Athletic Participation and Release Form, select the sport for that season and electronically sign the acknowledgment form in the Genesis Parent Portal each season.