A Note from the Nurse

~~~ A NOTE FROM THE NURSES ~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
PLEASE NOTE THAT THE NJ STATE DEPARTMENT OF EDUCATION
 FORMS
CAN BE FOUND UNDER "PRINTABLE FORMS".
 ONLY THESE FORMS WILL BE ACCEPTED.
PLEASE ALSO NOTE, THESE FORMS MUST BE COMPLETED IN FULL.
INCOMPLETE FORMS WILL BE RETURNED and
DELAY ATHLETIC CLEARANCE.
THANK YOU IN ADVANCE FOR YOUR COOPERATION.

AS OF JUNE 2020 FAMILIES MUST ENROLL AND SET UP FAMILY ID ACCOUNT FOR EACH ATHLETE, FRESHMAN AND TRANSFER STUDENTS
 
 
Physical Examination Form (Physician completes) and 
History Form (Parent/Guardian completes) 
need to be scanned into FamilyID account
Documentation will be reviewed by our School Nurses and School Physician prior to athletic clearance.
 
  Winter 2020-2021
As of 6/2020 ALL ATHLETIC PAPERWORK & FORMS must be completed and submitted electronically through Family ID
( www.familyid.com ) 

Thank you for supporting our efforts as we embark on this paperless process through FamilyID. We have utilized this new system since the summer and have found it extremely beneficial in: gathering information about your child, identifying their specific needs, the collection of documents, our electronic communication  to parents and not to mention the ease of athletic clearance process with our School Physician. 

You should only have one FamilyID account. The information that is entered when you register your child carries over to each season. If you have already created a FamilyID account in the fall - please do not create another account - this will delay the processes in clearing your child for athletics - no to mention the confusion.

You will be notified through FamilyID 30 days prior to expiration of the physical. The date tracker is always available to you to review. We ask that you upload additional documents and not override the previously submitted documents. 
If something changes with your child's history, you can update within this one FamilyID account.

If you are experiencing difficulties or forget your password - please contact 


Please refer to the Athletic website for specific sport information

Athletic paperwork will need to be electronically upload into your child's FamilyID account, reviewed by our School Nurses and approved by our School Physician prior to athletic clearance.
Any paperwork submitted late may be subject to delay in participation.
Any incomplete documentation will prolong your child's eligibility to participate.

PLEASE NOTE: The Physician who performs the physical must have completed the Student-Athlete Cardiac Screening PD module and sign the affirmation that it has been completed. 

All information must be provided (child's name/address; parent signature/date; physician signature/stamp/date of exam/eligibility to participate/specific limitations for participation).
ALSO, ALL PHYSICAL FINDINGS MUST BE DOCUMENTED: HEIGHT, WEIGHT, BLOOD PRESSURE, PULSE AND VISION.
If vision is not completed at time of physical, you must then submit documentation of your child's comprehensive eye exam.
 
Physicals are valid for one year of exam date.  
Parental permission is valid (completely filled out, signed and dated) 
within 90 days of the beginning of each athletic season.  
Any parental permission forms received prior to this '90 day' will not be accepted.

What does this mean?  
Please electronically submit athletic form and questionnaire through Family ID (www.familyid.com) 
 
Please bring to our attention any changes in your child's health, including injuries.  

If your child is an incoming freshman OR transferring into
Pascack Hills -
A current physical and health history must be electronically submitted through Family ID (www.familyid.com) 
prior to Physical Education Participation.


ALL NECESSARY FORMS CAN BE PRINTED FROM 
'PRINTABLE FORMS'

Thank you in advance.  
Rose T. Welyczko, BSN, RN, Certified School Nurse, MA
Tara Wholey, RN

rwelyczko@pascack.org 
twholey@pascack.org



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