AGENCY: Department of Health. Bureau of Health Promotion

SERIES: 81910
TITLE: Pre-athletic health examination and consent file
DATES: 1985-
ARRANGEMENT: alphabetical by school district

DESCRIPTION: This is a record of parental consent for students to participate in interscholastic athletic programs. This file includes student application, parental consent, and physician examination results. The information includes the student's name, grade, date of birth, and school district; the athlete's health history; the name and address of the physician giving the examination; the results of the physical exam; and the signed consent of the parent.

RETENTION

Retain for 1 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 06/1987

FORMAT MANAGEMENT

Paper: Retain in Office for 1 year and then destroy.

APPRAISAL

Administrative

This is a duplicate copy of the form which is sent to the state for statistical purposes. The originals of these forms are kept in the school's athletic files.

PRIMARY DESIGNATION

Private

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