Screenings/Physical Exams & Forms
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The State of Indiana mandates that our schools perform and report data for the following screenings to ensure the health and wellness of our children.
- Vision --Distance and near vision acuity for all students in Kindergarten, 3, 5, and 8, and any student suspected of having a vision issue.
- Modified Clinical Technique Vision (MCT) Vision Screening–Local Volunteer optometrist or ophthalmologist must come in (or waiver must be requested) for Kindergarten or 1st grades. This exam includes evaluations of visual acuity, binocularity (how the eyes work together), refractive error (problems with how the eye focuses light), and external and internal eye health.
- Hearing -- Hearing screening for all students in Grades 1, 4, 7, and 10, and any student suspected of having a hearing issue
- A parent may contact the school nurse if they have any questions or concerns regarding the required screenings.
- Upon enrollment MSDMV requests that students file a health survey, provider physical, and dental examination prior to entering Kindergarten, 6th and 9th grades. The health survey can be completed online during registration or printed and turned in to the office.
- It is recommended that you make an appointment with your doctor and return the physical exam form to your school. Your doctor’s office will most likely have a physical exam form or can be printed here:
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Jr High
- A physical form which includes a doctor’s physical, parent’s consent, and insurance liability must be completed and signed by both the parent/guardian and doctor before any student will be allowed to try out or practice for any interscholastic athletic team.
- AO-158a 10/00 MVJHS ATHLETIC WAIVER INSURANCE INFORMATION PHYSICAL STATEMENT PHYSICIAN'S STATEMENT
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High School
- Each athlete is required to have on file in the athletic office a completed IHSAA pre-participation physical/insurance form. This form must be on file before the athlete participates in any conditioning, practice or contest. This form, which must be signed by the athlete and parent/guardian, contains a summary of the Indiana High School Athletic Association rules. This form expires on the Sunday following the IHSAA baseball state finals at the conclusion of each school year. To be valid for all summer activities and the following school year, it must be renewed on or after April 1 yearly.
- https://sportshub2-uploads.vnn-prod.zone/files/sites/702/2017/12/19224238/IHSAA-PPE.pdf