(b) Each student medical examination shall be conducted at the medical home of the student. If a student does not have a medical home, the district shall provide this examination at the school physician's office or other appropriately equipped facility.

1. For the purposes of the sports physical examination only, students' parents may choose either the school physician or their own private physician.

2. A full report of the examination must be maintained as part of the student's health record.

(c) Information concerning a student's HIV/AIDS status shall not be required as part of the physical examination or health history.

(d) Each student shall be examined as required below.

(e) The examination shall be documented on a form approved by the Commissioner of Education and include the following components:

1. The examination shall be conducted by a school physician, school nurse, physical education instructor or other school personnel properly trained in the screening process for scoliosis.

2. Each district board of education shall provide for the notification of the parents or guardian of any student suspected of having scoliosis.

(h) An examination of each candidate for a school athletic squad or team shall be conducted within 365 days prior to the first practice session with examinations being made available by the school physician for those students who do not have a medical home.

1. The medical examination shall include a health history questionnaire, completed and signed by the parent to determine whether the student:

i. Has been medically advised not to participate in any sport, and the reason for such advice;

ii. Is under a physician's care and the reasons for such care;

iii. Has experienced loss of consciousness after an injury;

iv. Has experienced a fracture or dislocation;

v. Has undergone any surgery;

vi. Takes any medication on a general basis, the names of such medication and the reasons for such medications;

vii. Has allergies including, but not limited to: hives, asthma or reactions to bee stings;

viii. Has experienced frequent chest pains or palpitations;

ix. Has a recent history of fatigue and undue tiredness;

x. Has a history of fainting with exercise; and

xi. Has a history of a family member who died suddenly.

2. The medical examination shall include a physical examination which includes, at a minimum, the following:

i. Measurement of weight, height, and blood pressure;

ii. Examination of the skin to determine the presence of infection, scars from previous surgery or trauma, jaundice and purpura;

iii. Examination of the eyes to determine visual acuity, use of eyeglasses or contact lenses, and examination of the sclera for the presence of jaundice;

iv. Examination of the ears to determine the presence of acute or chronic infection, perforation of the eardrum and gross hearing loss;

v. Examination of the nose to assess the presence of deformity which may affect endurance;

vi. Assessment of the neck to determine range of motion and the presence of pain associated with such motion;

vii. Examination of chest contour;

viii. Auscultation and percussion of the lungs;

ix. Assessment of the heart with attention to the presence of murmurs, noting rhythm and rate;

x. Assessment of the abdomen with attention to the possible presence of heptamegaly, splenomegaly or abnormal masses;

xi. Assessment of the back to determine range of motion or abnormal curvature of the spine;

xii. Examination of extremities to determine abnormal mobility or immobility, deformity, instability, muscle weakness or atrophy, surgical scars and varicosities;

xiii. Examination of the testes to determine the presence and descent of both testes, abnormal masses or configurations, or hernia;

xiv. Assessment of physiological maturation; and

xv. Neurological examination to assess balance and coordination.

3. The medical report shall include a determination concerning the student's participation from the examining physician, nurse practitioner/clinical nurse specialist, or physician's assistant.

4. To participate on a school athletic squad or team, each candidate whose medical examination was completed more than 60 days prior to the first practice session shall provide a health history update of medical problems experienced since the last medical examination. This shall be completed and signed by the parent. The health history update shall include the following information:

i. Hospitalization/operations;

ii. Illnesses;

iii. Injuries;

iv. Care administered by a physician of medicine or osteopathy, advanced practice nurse or physician's assistant; and

v. Medications.

5. Each district shall provide written notification signed by the district school physician to the parent or legal guardian stating approval of the student's participation in athletics based upon the medical report pursuant to (h)3 above or the reasons for the school physician's disapproval of the student's participation. The medical report must be complete and signed by the original examining physician. A form that is incomplete must be completed by the original examining physician. The health findings of the medical examination for participation shall be made part of the student's health record and shall be documented on a form issued by the Commissioner of Education.

6. The health findings of the medical examination shall be maintained as part of the student's health record.