Health Services

52 Coddington Street. | Quincy| Massachusetts | 02169 | 617-984-8899 | Jane Kisielius

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Physicals

 

 

To play sports at the middle and high school level you must provide the following information to the school nurse or coach:


A copy of a recent physical exam - This must have been done within the last thirteen months and signed by your health care provider. If your child has not an exam in the last thirteen months, please call your provider to schedule an appointment Occasionally the school doctor comes to the school to do exams. These exams are reserved for students who do not have a health care provider of their own. If your child has not had an exam and can not get an appointment please contact the school nurse so that she can help you find a way for your child to play.

 

The Massachusetts Health Care Provider’s Examination Form can be found here and in the printable forms section
 

A current MIAA Sports Medical Questionnaire - filled out and signed by a parent/guardian.
 

Athletic Permit Card- filled out and signed by parent/guardian.


It is the responsibility of the student to submit all three forms together. The student will not be allowed to practice or play if these requirements are not completed.