Please complete for 6th GRADE STUDENTS
Dear Parent / Guardian of 6th grade student:

During this school year, your child is required to have a physical examination for school. You may choose to have your child receive a private exam with their physician or they may receive one in school with the school physician. Please indicate your preference below. School physicals will be conducted during the school day in the nursing office.  Please let me know if you would like to be present during your child’s examination.        

The physical examination form can be found here. Please contact me for a paper copy. 
https://www.pgasd.com/cms/lib/PA50000222/Centricity/Domain/58/01%20Private%20Physical%20form.pdf 

Page one needs to be completed by a parent or guardian. If your child is having a private exam, please have their physician complete the remainder of the form. If your child is having an exam in school, please return the form to me after completing page one.

     



Sincerely,

Jessica Lyons, LPN
Middle School Nurse
Pine Grove Area School District
570-345-2731 (extension 335)

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