Our Lady of Lourdes

HIGH SCHOOL, Poughkeepsie, NY

Physical Examination Form/Health Certificate

A certificate of a physical examination is required of all students on their initial entrance to Our Lady of Lourdes High School, and upon entering grade 10.  The exam shall be dated no more than 12 months before entering the grade.

There are specific requirements for students participating in interscholastic sports and/or cheerleading; please refer to the Medical Requirements for Sports Participation.

If you do not have documentation of a physical examination by your child’s private health care provider, a physical examination form is provided below, along with a medication order form in the event that your child requires medication in school.

All forms should be submitted to the Health Office within 30 days of your child’s entrance to school in September. 

As always, your timely attention to this requirement is appreciated. 

Click here for NYS Health Examination Forms.