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    Chatham High School Athletic Medical Forms
     
     

    Message to Parents & Students regarding physicals for Athletics.

     

    "Return to Play: Due to the increased risk of myocarditis, any student-athlete who tests positive for COVID-19 must be cleared by either a Doctor of Osteopathic Medicine (DO) or a Doctor of Medicine (MD). Final clearance must come from the school’s district physician for those schools that have one. Clearance must be sent in writing to the school nurse and accompany the form below."
     
     

     

    (July 15th to June 30th of each school year electronic signatures will remain on file and must be re-submitted each school year)

     

     

    The following forms must be submitted in hard copy: (Links are below)

    Athletic Emergency Form (print and submit 2 copies)

    Health History Update Form (if your child has a valid physical on file) or Athletic Pre-Participation Physical Examination Form (if your child's physical is expired). Physicals are valid for 365 days. You may view the date of your child's last physical by visiting the Athletics tab within the parent portal.

    Impact Test is a baseline concussion assesment that all student-athletes will participate in every two years.

     

    The following forms may now be signed off on in the parent portal:

    NJSIAA Steroid Testing Policy

    NJSIAA Parent/Guardian Concussion Policy

    Cardiac Arrest and Eye Injury Policy

    NJ DOE Opioid Fact Sheet Sign Off

    Educational Video Sign Off for Opioids

    CHS Parent Code of Conduct 

     

    To sign off on the above forms electronically, visit the portal at parents.chatham-nj.org. Select the Forms tab and select "Athletic Release 2020-21." Check off all of the check boxes that apply.

    Please do not submit any of the above forms in hard copy if you have already signed off on them electronically in the parent portal.

    Please contact Mrs. Pace at cpace@chatham-nj.org with any questions regarding required athletic forms.

     

    *EACH YEAR THE NJSIAA updates the list of Banned Substances please ensure you are aware of the banned substances by clicking the link below.

    NJSIAA 21-22SY Banned Substances

     
     All electronic forms below must be printed and delivered in hard copy to CHS School Nurse Mrs. Pace
    (Please drop off at Chatham HS front entrance Monday - Friday, there is a bin labeled Sports Physicals)
     

     

    1.  Chatham High School Athletic Emergency Form  (Print and Submit 2 Copies)

     

    2. Athletic Physical Examination Form

     

    3. New Health History Questionnaire 

    (Must be submitted w/ New Athletic Physical Examination form includes Covid-19 Questions / Must also be submitted each athletic season when participating (Fall, Winter, Spring)

     

    4. Impact Testing Consent Form

     

     ** Your child WILL NOT be able to participate unless every form is filled out and submitted properly **