To properly care for the health and safety of your child and to meet the requirements of DePaul Catholic High School/Wayne Board of Health, a complete annual physical examination is required of all students each year and is good for one full year (365 days) for both school/field trips and sports requirements. Your child may be asked to return home if these forms are not in place by the first day of school in September. Therefore please mail, fax or personally deliver these forms to our health office as soon as possible.
These forms can be downloaded from the “Health Forms” section in the Health Office tab. There you may click on these PDF forms for printing.
Parents/Guardians and Physicians must fill out:
Parent Portion: PRE-PARTICIPATION – HISTORY FORM.
Physician Portion: PREPARTICIPATION PHYSICAL EVALUATION – PHYSICAL EXAMINATION FORM must be completed by your child’s physician. Many doctors will ask that Parent portion is filled in and submitted with physician portion before he/she will finalize their portion. We recommend that you make a copy for your own records. Please Note to All Athletes: As of 5/1/15, your physicians or practitioners performing physicals for student-athletes must have completed the “Student-Athlete Cardiac Assessment Professional Development Module” (please check that they have taken this module before performing your exam). In Order for the physical to be considered valid for athletics in New Jersey High Schools, the physician or practitioner must sign and date the section under “Clearance Form Page” that states: “Completed Cardiac Assessment Professional Module”. The Module is from the “State of New Jersey Department of Education and Health”. Thank you – Nancy Keil, Athletic Trainer
Other forms that may apply to your child’s health and safety that you would need to bring to your child’s physician for a signature are: Medication Authorization (dispensing medication to your child during school hours, including over-the-counter medications), Allergy/Epi-pen form, Asthma Action Plan, Diabetes Medical Management Plan and Seizure Action Plan. These forms are also included in the “Health Forms” section in the Health Office tab.
If a student also wishes to participate in sports activities, additional forms may be required and are included on our website or call our Athletic Department at: 973-694-3702, Ext 430. All necessary forms must be submitted at least one week prior to tryouts/practice (whichever comes first) or clearance cannot be guaranteed in time for participation