Pennsylvania Physical Form

Physical Examinations

Download the PA School Physical Form

The Pennsylvania Public School Code Section 1402. Health Services (e) requires that students upon original entry, sixth grade and 11th grade be given a "comprehensive appraisal" of their health. The physical is to be completed within 4 months prior to the start of the school year. In addition, Section 1402(c) requires the completion of medical questionnaires which are to become part of the student's health record.

This requirement may be completed by the student's primary care provider (MD, DO, CRNP, PA).

In 2012, the Department published a physical examination form which is to be used for both private and school physical examinations. This form is more comprehensive than previous forms because it includes an extensive medical history.

Information courtesy of the Pa Department of Health