Preparticipation Physical Evaluation (PPE)

CDW Sports & Intramurals Participation Information

 

School policy and NJ State regulations require the following:

Go Knights The Preparticipation Physical Evaluation (PPE) may ONLY be completed by a licensed physician, advanced practice nurse (APN), or physician assistant (PA) that has completed the Student-Athlete Cardiac Assessment professional development module. You must verify that your medical provider has completed this module before scheduling an appointment for a PPE. The licensed physician, APN, or PA who performs the physical examination must complete the remaining two pages of the PPE and insert the examination date on the PPE on page 3 and Clearance Form on page 4.

  • A Health History Update Questionnaire is required if a physical examination was completed more than 90 days before the first day of tryouts/practice. The documents must be completed and signed by the student's parent/guardian. The student and parent/guardian must read/review the Sudden Cardiac Pamphlet and Concussion Policy Acknowledgement Form.
  •  If applicable, The Athlete with Special Needs Supplemental History Form is on page two of the PPE. The date of the required physical examination is at the top of the page.
  • Forms will NOT be accepted with blanks so please have the medical provider fill out the form completely.
  •  The licensed physician, APN, or PA must also sign the certification statement on the PPE form attesting to the completion of the professional development module. Each board of education and charter school or nonpublic school governing authority must retain the original signed certification on the PPE form to attest to the qualification of the licensed physician, APN, or PA to perform the PPE.
  •  If a student's participation is NOT approved, the school district will provide a written notification to the parent/guardian, signed by the school physician of the disapproval reason(s).

Please click here to access all documents and forms that need to be reviewed and/or completed and submitted.

Sport              Season

Soccer                    Fall

B/G Volleyball       Fall

B/G Basketball Winter

Baseball/Softball Spring

Track             Spring

Intramurals   Fall/Winter/Spring

DUE DATES:

 

Please submit all documents by the designated deadline(s) below.

Fall Sport: 

Submit before August 30, 2024

Winter Sport:

 Submit before October 11, 2024

Spring Sport: 

Submit before February 21, 2025

*All forms must be submitted to the school nurse, and coaches will verify all medical documents are on record.




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