Athletics Well-Exam Form

BHS requires any student playing an interscholastic sport to have a “current” physical. A physical is considered current if it is within the last TWO years.

Click the button below to fill out the editable PDF form.

Once completed, this form MUST be turned in to the BHS Health Office in one of the following ways:

  • Bring it to us
  • Mail it (52 Institute Rd, Burlington, VT 05408)
  • Fax it to the Nurse’s office (802) 864-2167 OR
  • Scan and email it to