Athletic Forms

Any sports physicals presented to Dr. Hartmann for review and approval MUST be on the current Athletic History/Physical Form (Rev 3/10). Any exams not recorded on the appropriate form will be rejected until the correct form is completed. The Athletic History/Physical Form (Rev 3/10) is the only form approved by the New Jersey Department of Education and has now been in use for an entire school year. The "grandfathering" of the old form will therefore be discontinued.

Sports physical forms must be filled out completely - if the physician does not fill out all information (Example: for vision 20/___R  20/ ___L) we must reject the physical form.  Please make sure all spaces on the physical forms are complete. 

Please click on the link below to download the document: