FORMS
Click on the name of the form to download & print

STUDENT INFORMATION
PHYSICALS, INSURANCE, MEDICAL PROCEDURES & Release
M
EDICAL HISTORY
PHYSICAL EVALUATION
PROCEDURES & POLICES
ACKNOWLEDGEMENT & CONSENT


LISD Student Information
*Completed Annually*
This form gives us important contact and emergency information.  We will use this information to communicate with you via telephone, mail or e-mail.  We also use this information to complete claim forms in the event that your child requires a referral to a doctor or specialist.  It is important that all information is correct and current, especially phone numbers.
Top of Page

 
LISD Physicals, Insurance, Medical Procedures & Medical Release
*Completed Annually*
*Parent/Guardian Signature Required*
This form explains information concerning physicals, insurance and medical procedures.  All students entering 7th, 9th and 11th grades require a physical.  Other students may need a new physical as indicated on the medical history form.  LISD provides a secondary accident insurance policy to help supplement payments from parent's insurance policies.  This insurance coverage is not a zero balance policy and may not cover all expenses.  By signing this form, you acknowledge that you agree to the policies and procedures explained in the form.  You also give permission to coaches and athletic trainers to authorize a doctor to examine and treat your child.

Medical information that we regularly share includes, but is not limited to, injury reports to coaches, physicians and LISD athletic trainers; personal and medical information to insurance companies regarding insurance claims; other school districts in the event that the student should transfer to another district.  By signing this form, you authorize the release of confidential health information in the form of medical records or a summary or narrative of your protected health information to the persons or entities listed on the form.  If you would prefer to limit the information or persons or entities, please list the limitations on the lines provided.
Top of Page


UIL Medical History
*Completed Annually*
*Parent/Guardian & Student Signatures Required*

This form must be completed by the parent/guardian and student in order for the student to participate in athletic activates.  These questions are designed to determine if the student has developed any condition which would make it hazardous to participate in an athletic event.  Please explain and "yes" answers in the box at the bottom right of the page.  Yes answers to questions 1-6 require further evaluation which may include a physical examination.  By signing this form, you acknowledge that you have answered all questions truthfully and completely.  You also give consent for physicians, athletic trainers, nurses or school representatives to treat your student.
Top of Page

 
UIL Pre-Participation Physical Evaluation
*Completed Biannually or as indicated on medial history form*
*Physical Signature Required*

This form must be completed prior to junior high athletic participation and again prior to first and third years of high school. It must be completed and on record with the high school athletic trainer or junior high school coach before the student participates in any practice, before, during or after school, (both in-season and out-of-season) or games, scrimmages or matches.
Top of Page

 
LISD & UIL Procedures & Policies
*Completed Annually*
This form gives information about multiple policies and procedures including UIL Anabolic Steroid Testing, UIL General Information and Eligibility Rules, LISD Drug Testing, ImPACT Testing, and Pregnancy Policy. 
Top of Page

 
LISD & UIL Acknowledgement & Consent
*Completed Annually*
*Parent/Guardian & Student Signatures Required*

This form gives consent to the testing procedures listed on the Procedures & Policies page.  By signing this form, you acknowledge and agree to comply with the policies and rules listed  on the Procedures & Policies page; you understand that failure to proved accurate and truthful information on UIL forms could subject you to penalties determined by the UIL.
Top of Page