Winslow Township High School
Department of Athletics
Student Athlete Physical Information
According to New Jersey State Code (N.J.A.C. 6A:16), students must have their sports physicals performed at their “medical home” (family physician). If you do not have a “medical home”, contact the Athletic Office to make alternative arrangements.
Please note the following information about sports physicals:
All physicals must be completed using the forms provided by the school.
Part A: Health History Questionnaire, to be completed by the parent prior to the physical evaluation being administered.
Part B: Physical Evaluation Form, to be completed by the physician/healthcare provider. No other forms will be accepted. These forms may be downloaded from the District website at www.winslow-schools.com (go to High School/Athletic Department page) or picked up from the athletic office.
Sports physicals must have been completed within 365 days of the first day of tryouts for any given sport.
All physicals must be reviewed by the school physician, per regulation; therefore, they must be submitted prior to athletic participation.
1. All forms must be completed in full or they will be returned as incomplete.
2. NOTE Part B, page 3 of 4 – Student’s Physician must sign and date both history review sections.
DO NOT GIVE THE PHYSICAL TO YOUR SPORT COACH.
Forms are to be submitted to the Athletic Office.
Thank you for your cooperation. If you have any questions, please contact the Athletic Department, 856-767-1850 Ext. 8160.