Health Appraisal or Physical Form (PDF - 71 KB)
Current physicals are needed on any new entrant, students in grades Pre-kindergarten, Kindergarten, 2, 4, 7 and 10. To be completed by your child's primary health care provider. Although other forms may be acceptable, this is DeRuyter Central School official physical form.

Dental Certificate (PDF - 28 KB)
Completed dental certificates are requested by the school nurse for every new entrant and students in grades Pre-kindergarten, Kindergarten, 2, 4, 7 and 10.

Medication Administration and Self-Carry/Self-Administer Medication Forms (PDF - 93 KB)
This form needs to be completes for any and all medications that a student takes in school

Interval Health History Form (PDF - 70 KB)
This form needs to be completed for all student/athletes prior to the beginning of each sports season, if the student has a current and complete sports physical that was not done within the 30 prior to the start of the season.

Pre-Participation Form (PDF - 139 KB)
This form needs to be completed for all student/athletes at the time of their physical. The pre-particiation form is part of a complete sports physical.