Student Medical Fitness Form

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Any conditions the school should know about?
Is the pupil currently experiencing anxiety or has a history of anxiety-related concerns?
Is the pupil currently diagnosed with asthma or has a history of asthma-related concerns?
Does the pupil have Attention Deficit Disorder (ADD) or a history of attention-related challenges?
Is the pupil currently experiencing behavior or emotional problems, or has there been a history of such concerns?
Does the pupil have any current ear or hearing problems, or a history of such issues?
Is the pupil currently experiencing eye or vision problems, or has there been a history of vision-related challenges?
Are there any limitations to the pupil's physical activity, or has there been a history of such limitations?
Does the pupil have any current speech problems, or is there a history of speech-related challenges?
Has the pupil been diagnosed with Sickle Cell Anemia or has a history of this medical condition?
Has the pupil been hospitalized or undergone surgery in the last 12 months?
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