School Physical Examination Form

The School Physical Examination Form captures all the information required by schools and school districts for student health clearance. It collects the student's personal details, parent or guardian contact information, immunization records, and a comprehensive health history covering allergies, chronic conditions, and current medications. This standardized form ensures your practice provides families with the documentation they need for enrollment, annual health updates, or return-to-school clearance.

The form includes sections for vision and hearing screening results, growth measurements, and a review of systems that aligns with standard school physical requirements. Parents can flag specific health concerns, document prior hospitalizations or surgeries, and note any learning or behavioral accommodations their child receives. The provider clearance section at the end allows the examining physician to certify the student's fitness for school attendance and note any activity restrictions or follow-up recommendations.

Ideal for pediatric practices, family medicine clinics, school-based health centers, and community health organizations that perform high volumes of school physicals during back-to-school season. This form reduces paperwork bottlenecks, ensures compliance with state-mandated health screening requirements, and gives parents a clear record of their child's examination results.