• Important Sports Clearance Information

    By Karin Hager, RN

    Outlines what every student athlete needs to do to be medically cleared.  Mr. Schwartz has asked that Mrs. Hager make sure every athlete has had and passed an ImPact Baseline test for concussion before they are cleared as well.  This means for Mrs. Hager to clear an athlete to practice or play they must have had:

     A physical in the past year.

    The Interval History Form filled out and signed by a parent (no sooner than 30 days before the start of the season).

    A urinalysis to test for protein or glucose.

    An ImPact test (performed here at school). 

    Other health forms turned in if they have a medical issue such as asthma, diabetes, seizures, or anaphylactic reactions requiring an epinehprine delivery device  (EpiPen or Auvi-Q). 

    Important Sports Clearance Information.pdf 121.31 KB (Last Modified on January 14, 2016)
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  • Interval Health History Form


    This form must be filled out by and signed by a parent.  Please be sure to date the form or it will be returned to you to date - as the state says it may not be dated 30 days before the start of the season.  Please make sure you read the form in it's entirety before signing.  Please note the concussion information on the back of the form.  West Valley students MUST be cleared by the West Valley School Nurse, Mrs. Larson!!!


    Interval Health History - Reformatted 2017.docx 25.44 KB (Last Modified on June 9, 2017)
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  • Physical and Health Appraisal Form


    You may pick one of these forms up in the Health Office or your physician may want to use their own form.

    Physical and Health Appraisal Form.pdf 97.14 KB (Last Modified on January 14, 2016)
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  • Athletic Placement Process


    The Athletic Placement Process is for 7th and 8th grade students who want to play a JV or Varsity sport.  The new state regulations state that the student must go thorugh this new process before being able to play at the higher level.  Please see Mr. Schwartz to express your interest and to receive a form to fill out.  Once the form is filled out and the parent permission slip has been signed, then the athlete must be cleared by the school's Medical Director (the athlete may be seen by their primary care physician originally, but all data must be sent to the Medical Director for FINAL CLEARANCE).  Once the athlete has been cleared, they may then start the physical fitness testing with the gym teacher.  The student must be cleared and pass the physical fitness test before they can participate in JV or Varsity practice or games.  Please be sure to see Mr. Schwartz as early as possible if you are a 7th or 8th grader and want to play JV or Varsity because this can be a long process.

    AthleticPlaceProcess.pdf 1.33 MB (Last Modified on January 14, 2016)
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  • Concussion Athlete Fact Sheet


    A fact sheet from the CDC for student athletes describing signs and symptoms of concussion and the importance of letting the coach know if they are experiencing any signs or symptoms. 

    Concussion Athlete Fact Sheet.pdf 305.16 KB (Last Modified on January 14, 2016)
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