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West Chester Area School DistrictMODIFIED PHYSICAL EDUCATION Name___ Grade: ___ Teacher: ___ Date(s) of Modification: From: ___ To: ___All pupils in Pennsylvania are required physical education instruction.
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How to fill out modified physical education referral

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How to fill out modified physical education referral

01
Obtain a modified physical education referral form from the school's administration or health office.
02
Fill out the student's personal information such as name, student ID number, grade level, and contact information.
03
Provide details about the reason for the modified physical education referral, including any relevant medical conditions or disabilities.
04
Specify the specific modifications or accommodations needed for the student to participate in physical education classes.
05
Obtain necessary signatures from the student's parent or guardian, as well as from a healthcare provider if required.
06
Submit the completed form to the appropriate school staff or department for review and implementation.

Who needs modified physical education referral?

01
Students who have medical conditions or disabilities that prevent them from participating in regular physical education classes may need a modified physical education referral.
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Modified physical education referral is a process where a student is recommended for a modified physical education program based on their individual needs.
Parents, teachers, or healthcare professionals may be required to file a modified physical education referral for a student.
To fill out a modified physical education referral, gather relevant information about the student's needs and submit the form to the appropriate school administration.
The purpose of a modified physical education referral is to ensure that students with special needs receive physical education tailored to their abilities and limitations.
Information such as the student's medical history, physical limitations, and recommended modifications to the physical education program must be reported on a modified physical education referral.
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