Nebraska requires a physical examination for students entering school at the beginner grade, entering seventh grade, and transferring from out of state (Neb. Rev. Stat. 79-214). This convenience form gives the school the physical findings, an audiometric screening, a visual evaluation, daily or episodic medications and any activity limits, with an optional athletics certification.
The parent or guardian signs the consent to release the information to the school at the top. The examining physician, PA or APRN completes the findings and signs, which indicates completion of the exam and review of the health history.
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Physical Examination Report
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Under Neb. Rev. Stat. 79-214, a physical examination is required for entry at the beginner grade (kindergarten or first grade), for seventh grade, and for students transferring from out of state. FH-42 is a convenience form for reporting it.
The form includes a checkbox certifying that the student passed the physical examination and is physically able to participate in interscholastic athletics, plus a line for activities the student should not participate in and significant chronic health concerns.
Yes. Nebraska DHHS also posts FH-43, Certification of Physical Examination, a short certificate stating that the required exam was done. FH-42 is the full report, and the form notes that no specific form is required by statute.