To be completed by Parent/Guardian.

To be completed by the parent/guardian.

Page 2 needs completed by student/parent/guardian.

Last page needs completed by student/parent/guardian.

https://www.ohsaa.org/medicine/physicalexamform

Form can be downloaded in English and Spanish from the link above.

Page 5/6 need completed by a healthcare professional (Doctor), all other pages need to be completed by student/parent/guardian.