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Physical Examination Requirement

The Pennsylvania Public School Code Section 1402. Health Services (e) requires that students upon original entry, sixth grade and 11th grade be given a "comprehensive appraisal" of their health. The physical is to be completed within 4 months prior to the start of the school year. In addition, Section 1402(c) requires the completion of medical questionnaires which are to become part of the student's health record.

This requirement may be completed by the student's primary care provider (MD, DO, CRNP, PA) or by the school provider.

Physical Examination Form (School or Private)

Physical Examination Form (Spanish)

For More Information

Pennsylvania's Physical Examination Requirements can be found in Pennsylvania Public School Code Section 1402. Health Services (e).  Contact your health care provider or call 1-877-PA-HEALTH for more information.

PA Dept. of Health

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Contact Information

Dawn Golden
Assistant Superintendent
(412) 793-7000, Ext. 1284

Lois Gess
Secretary
(412) 793-7000, Ext. 1221