The sports physical must be conducted within 365 days of the first practice session. For Student-athletes that had a medical examination completed more than 90 days prior to the first official practice in an athletic season, the Health History Update Questionnaire form must be completed, and signed by the Student's parent/guardian. The HHQ must be reviewed by the school nurse.Every school district that participates in interscholastic athletics is required to adopt a policy concerning the prevention and treatment of sports-related concussions. A concussion is a traumatic brain injury caused by a direct or indirect blow to the head. Each student athlete and his/her guardian must review and sign the NJSIAA Parent/Guardian Concussion Policy Acknowledgment Form and return it to the coach or school nurse before the first practice date.Pursuant to N.J.S.A 18A:40-41(d), school districts must distribute the Sudden Cardiac Death In Young Athletes pamphlet to each student-athlete and to the parents or guardians of the student-athletes, as part of the student's pre-participation physical examination and completion of the athletic permission forms. A student-athlete and the parent or guardian of the student-athlete shall certify in writing that they received and reviewed the pamphlet. The pamphlet can be found at http://www.state.nj.us/education/students/safety/health/services/SuddenCardiacDeathPamphletSignOffSheet.pdf.The PPE may only be completed by a licensed physician, advanced practice nurse or physician assistant that has completed the Student-Athlete Cardiac Assessment professional development module. It is recommended that you verify that your medical provider has completed this module before scheduling an appointment for PPE.