The completed and signed form will need to be returned to the Athletic Director along with the signed consent form. Family ID acoount is not complete until physical form is uploaded. Log In / Create an Account to track your orders and personalize your experience. Explain Yes answers below. To download another copy of the Tracking Document, LA Unified Student and Family Wellness Centers, School-Based Community Mental Health Partners, SECTION 504 AND INDIVIDUALS WITH DISABILITIES, AED Daily/Monthly Readiness Status Checklist, Confidential Health Information for Asthma, Request for Medication During School Hours (, Authorization to Receive/Release of Medical Information, CD Notifications (Chicken Pox, Fifth Disease, Hand, Foot & Mouth Disease, Headlice, Scabies), Child Health and Disability Prevention Program (CHDP) Forms, CHDP Consent for Health Assessment, Eligibility Determination, HDP Report of Health Examination for School Entry (PM 171A), CHDP Waiver of Health Examination for School Entry (PM 171 B), Confidential Health Information for a Student, Readmit of Pupils with Medical/Amb Assisted Devices, Home/Hospital Instructions Referral Forms, Review for Support Services Due to Health Needs, Compliance with California Immunization Law - Removal of Personal Exemption, Notification of Immunizations Due February 2023, Pre-2020 Medical Exemptions by Disciplined Physicians, School and Child Care Webinar Presentation, Medical Exemptions and Exclusions (Not for Immunizations), Medical Waste: Transport Checklist, Tracking Document and Generator Certificate, Medical Waste: Checklist, Tracking Document, and Generator Certificate, Request for Medication to be Taken During School Hours Eng |Span, For download: Fillable Version of Attachment A, Mental Health Evaluation Team (MHET) Preliminary Information Request Form, Naloxone: Administration of Naloxone Spray, Medical Exclusion OR Clearance to Attend School for Preschool-Aged Childre, Principal - Credentialed Nurse Conference, School Attendance Review Board (SARB) and Site School Nurses, School Attendance Review Board and Site School Nurses, COVID-19 - Sports Participation Parent Letter, Certificate of Absence and Other Payroll Forms, 22-23 REQUEST FOR PAYMENT OF ADDITIONAL TIME, School Nurse (RN) Employee Initiated Transfer Form, Spot Vision Screener Product Overview Training_1-25-22, School-site Crisis Team Training Recorded Webinar Series 2021, Blackboard Web Community Manager Privacy Policy (Updated). Copyright 2002-2023 Blackboard, Inc. All rights reserved. Upload health insurance card to Home campus website:https://www.homecampus.com. Assures that everyone involved with CIF activities is treated with dignity and respect. Coordinator, Human Resources, Corona-Norco Unified School District, 2820 Clark Avenue Norco, CA 92860, (951) 736-5000 Contact Dr. Hickman For any allegations under Section 504 of the . When completing the online clearance process, you will need to download & print the appropriate form. 2021Long Beach Unified School District, Community of Musicians, Performers, Artists, and Social Scientists, Why Choose QUEST? BUL 4948 Medical Clearance and Return to Play Guidelines. PPE forms are available on the Athletic Director's page, andHere, http://www.cif-lahome.org/public-schedule-score.php, National Voice for Interscholastic Athletic Administration, Calif Assoc for Health, Physical Educatioon, Recreation and Dance, Calif State Athletic Director Association. Stay Connected. Fax: (949) 830-0782. Los Angeles Unified School District . 2023-24. Use PARENTS email address and password. You will receive a confirmation email from the Athletic Department to let you know that you are cleared! To download another copy of the Tracking Document, click here. 92277, (760)367-9191, Stacy Smalling. Please upload the Physical & Insurance form to the Athletic Clearance website. Winter Sports is currently open for 2022-2023 . Athletic Clearance During the School Year: To begin the sports clearance process for the 22-23 school year please follow the steps below: Create an account on www.AthleticClearance.com ( Athletic Clearance Guide) Contact Information. If the email is not in your inbox, make sure you check your junk or spam folder. (909) 357-6324. Athletic Clearance Instructions www.athleticclearance.com If you are interested in participating in any AB Miller sport, you must be cleared through the Athletic Department before you can pratice or play. The forms are grouped with other related information i.e. Blackboard Web Community Manager Privacy Policy (Updated). Myers Stevens - Toohey Insurance Online Enrollments, Myers Stevens Toohey Form (English) 2020, Myers Stevens Toohey Form (Spanish) 2020. REF-2481.4, Support for Students with Assessed Health Needs in Special Education Programs, Policy: BUL-3219.2, Student Medical Exemption and Exclusion Policy and Procedures, Medical Waste: Checklist, Tracking Document, and Generator Certificate, 2022-2023. Contact Information interscholasticathletics@lausd.net Office Phone: (213)241-5847 Office Fax: (213)241-5846 TC Trenton Cornelius IAD Coordinator The advanced tools of the editor will direct you through the editable PDF template. Step 2: Athletic Clearance Website. Please allow enough time to complete before your 1st Practice or tryout date. You will choose the 2021-2022 school year, and scroll down to choose ", Complete all sections and upload necessary documents, A sports physical done by an MD, DO, or PA-C will be uploaded to the "Physical Forms", Upload a copy of your health insurance card/proof of health insurance to the "Insurance Card" section (please make sure that the student athlete's name is listed on the proof of health insurance), 3. This process can take up to 48 hours - 2 weeks to finalize in the athletic office after it has been completed by you. Downloadable version: Asthma Action Plan (English) | Spanish, Attachment H Medical Waste Transport Preparation Checklist, ***When requesting service/support from LASPD Dispatch (213.625.6631) for a student/employee identified as high risk for suicide/threat (per BUL-2637.4, BUL-5799.1, BUL-5798.0), the following Preliminary Information should be provided as indicated in theMental Health Evaluation Team (MHET) PRELIMINARY INFORMATION Request Form***, BUL-133120 ADMINISTRATION OF NALOXONE NASAL SPRAY, LAUSD DNS NALOXONE TRAINING FOR SCHOOL NURSES: NURSE SUPPLEMENTAL, INSTRUCTIONS FOR ADMINISTRATION OF NALOXONE, REPORT OF NALOXONE ADMINISTRATION FORM (BLANK), SAMPLE LETTER: NALOXONE REQUEST FOR VOLUNTEERS, SAMPLE LETTER: NALOXONE VOLUNTEER NOTIFICATION, BUL-3276.1 Compliance on Services for Pregnant Minors and Parenting Minors, August 15, 2007, BUL-3585.6,Oral Health Assessment for Kindergarten or First Grade Entry, August 1, 2016, Oral Health Assessment/Waiver Request Form, See Protocols section: Seizure Care for more information/forms, Sign in the MyLAUSD first before clicking the links below, BUL-4948.2Medical Clearance and Return to Play Guidelines for Students Participating in Interscholastic, BUL-6429.3Athletic Rules and Regulations, Clearance Policy for Student-Athleteswith Impaired Vision, Guidance for Screening Pre Participation of Examination (PPE) Forms (COVID), IOC Student Athlete Returning from a Positive COVID-19 Test, Medical Conditions and Sports Participation, Flowchart on Concussion Injury Documentation, Medical Clearance Form - to start Stage III of RTP Protocol, Hx ofCOVID-19 - Sports Participation Parent Letter, Post COVID-19 Return to School and Graduated Return to Play, Elementary - Information for Sub School Nurses, Secondary - Information for Sub School Nurses, School Nurse (RN) Employee Initiated Transfer Form, 2/2018, Licensed Vocational Nurse (LVN) (Employee Initiated)Transfer Form, REF-5527.0- Visually Impaired Program: Referral, Assessment, and Scope of Service, ALL 14 WEBINARS ARE NOW AVAILABLE FOR VIEWING ON MyPLN, School-site Crisis Team Training Recorded Webinar Series 2021 FLYER, Link to the Division of District Operations > Emergency Services, District Policies Regarding Critical Issues, Immunizations Guidelines and School Based Clinics, Types of ServicesandSupervisor Contact Information, https://achieve.lausd.net/parent-resources. Sports Physical: 6821 Oleander Avenue Fontana, CA 92336 LOGIN to https://www.homecampus.com using the username & password you created via the instructions above. OIG Hotline; Click on the link above in order to begin the registration process. CREATE an account. Complete info below for one or more courses to view the required and recommended course materials. The completed physical examination form must be uploaded when completing the online clearance process and submitted to the Athletic Secretary, Denise Cuevas in the main office. Phone: (213) 241-1000. Physical Exam. Heat Index Bulletin and Revised Chart, 2018-19 Athletic Rules and Regulations, Headquarters - 333 South Beaudry Avenue, Los Angeles, CA 90017. Draw your signature or initials, place it in the corresponding field and save the changes. Copyright 2002-2023 Blackboard, Inc. All rights reserved. Physicals : Below are the required forms for sports in LAUSD. If you have any questions, please contact Janet Furuya, Athletic Director, at JTF9036@LAUSD.NET 3. This is determined by using the . Athletic Clearance Athletics Administration's Message Athletic Clearance Athletic Participation Info Athletics Staff CIF Athletics News College Bound Athletes THHS Athletics Calendar THHS Athletic Teams THHS Athletic Events THHS Athletic Achievements Athletic Clearance Sports Clearance Information Transportation Forms Click the "Register'' link to start an account. Phone: (949) 837-7722. . (916) 567-5440. OIG Hotline; District publications. Adult and Career Education Human Resources, Learning Continuity Plan and COVID Community Report, Beyond the Bell (Before and Afterschool Programs), Before and Afterschool Programs (Beyond the Bell), Early Education (Transitional Kindergarten), Chief of Employee Support & Labor Relations, Local Control and Accountability Plan (LCAP), Local District Northeast - Operational Center, Local District Northeast - Parent & Community Engagement Center, Local District Northwest - Parent & Community Engagement Center, Local District Central - Central Instructional Center, Local District Northwest Operation Center, Division of Risk Management and Insurance Services, Linked Learning Vendor and Community Partners, Curriculum Instruction and School Support, Division of Access, Equity and Acceleration, BOOST (Building Our Own Staff as Teachers), Career Assistance for RNs in Education (CARE), Los Angeles Administrative Services Credential, Certificated Assignments and Support Services, Certificated Performance Evaluation Support, Credentials, Contracts and Compliance Services, District Intern Program: Professional Development Plan, ESSA Title II, Part A Private Schools Support, Non-Classroom Teacher and Support Services Vacancies, Special Education Certificated Employment, Verification Process for Special Settings, HR Certificated Assignments & Support Services - Wireframe, HR Certificated Recruitment and Selection - Wireframe, HR Personnel Research & Analysis - Wireframe, HR Aspiring Administrator Programs (APP) - Wireframe, HR Teacher Growth & Induction - Wireframe, Employee Assistance Service for Education (EASE), Business Applications Supporting Education, IT Project Management and Enterprise Systems, L.A. Unified School District Mobile Application, Accounting Controls (To Be Decommissioned), School Listings: Quick List Location Code, Data Privacy, Analysis, & Reporting Branch, California Assessment of Student Performance and Progress, California English Language Development Test, National Assessment of Educational Progress, Reopening of LAUSD Schools Survey - Family, Reopening of LAUSD Schools Survey - Staff, Procurement and Contract Administration Branch, Credit Cards, Travel and Vendor Services Unit, Unified Digital Instructional Procurement Plan, Office of District Operations and Digital Innovation, Preparing for Storms: Rain and Flood Safety, DOTS District Office of Transition Services, Positive Behavior Intervention and Support_RP, Student Support-Positive Climate Resources, Professional Learning and Leadership Development, Archived Site **DO NOT DELETE** - Administrator Development, Archived Site **DO NOT DELETE** - Educator Development and Support **MyPGS Files storage**, Archived Site **DO NOT DELETE** - Policy and Partnerships, Archived Site **DO NOT DELETE** - Professional Learning and Leadership Development, ESC North Parent & Community Engagement Center, Local District South Parent & Community Engagement Center, Parent & Community Engagement Unit - LD Central, Local District West Parent & Community Engagement Center, ISIC Parent & Community Engagement Center, Downtown | MacArthur Park Community Of Schools, Eagle Rock | Highland Park Community Of Schools, Glassell Pk | Los Feliz Community Of Schools, Jefferson | South Central Community Of Schools, Manual Arts | Vermont Square Community Of Schools, Koreatown | Mid City Community Of Schools, Student Medical Services & Medi-Cal Program, Master Plan for English and Standard English Learners, District English Learner Advisory Committee, Common Core State Standards Parent Resources, Blackboard Web Community Manager Privacy Policy (Updated).

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