CD Rams Sports Medicine & Physicals

All CDSD and PIAA Sports Pre-Participation Paperwork must be submitted online through Healthy Roster. Paper documents will no longer be accepted.

Healthy Roster is a secure and private electronic medical records system that is HIPAA and FERPA compliant. Parents/Guardians of any student interested in trying out for a CDSD team must have a Healthy Roster Account. Healthy Roster requires a one-time free registration for Parents/Guardians. Accounts will stay active until the student graduates. Upon graduation, the account will automatically become inactive.

CDSD Athletic Trainers will use Healthy Roster to keep track of sports pre-participation paperwork, medical records, injuries, and doctor’s notes. Healthy Roster will make it easier and faster for Parents/Guardians to complete the CDSD and PIAA pre-participation forms online and for CDSD to make sure all athletes are cleared to participate.

All pre-participation paperwork must be completed and signed on or after May 1st per PIAA guidelines for the 2026-27 school year. Information cannot be edited once it has been submitted. Please double-check all information before moving to the next section. If you notice a mistake, contact Lisa Wawrzyniak, Central Dauphin Athletic Trainer, at lwawrzyniak@cdschools.org to have the document deleted. The document will then need to be completed and submitted again.

SPORTS PRE-PARTICIPATION REQUIREMENTS

STEP 1. Create a New Athlete Profile (NEW ATHLETES ONLY)

• Complete the CD Rams New Athlete Profile Form.
• Already have a Healthy Roster Account? Do NOT submit the CD Rams New Athlete Profile Form if your student already has a Healthy Roster Account from a previous school year. You can log in to that pre-existing account by clicking this link: Healthy Roster Login Dashboard.
• If you are a parent/guardian of more than one New Athlete, complete & submit this form for each New Athlete using the same email address.

STEP 2. Create a Healthy Roster Parent/Guardian Account (NEW ATHLETES ONLY)

• Initial Account Setup Tip: Computer often works better than the Healthy Roster App!
• Email Invitation: Healthy Roster will send an email invitation from noreply@healthyroster.com to the Parent/Guardian email listed on the New Athlete Profile form within one week from the date the form is submitted.
• Where is my Healthy Roster Email Invitation? Check your Spam/Junk mail folder for the Healthy Roster Invitation Email. If you use a CDSD email, your invitation may go to Barracuda. If you do not receive an email invitation from Healthy Roster within one week of submitting this form, please contact Lisa Wawrzyniak, Central Dauphin Athletic Trainer, at lwawrzyniak@cdschools.org.
• Open your email with subject: “Join Central Dauphin School District on Healthy Roster.”
• Sign up via Website: Click on the link in this email that states: “Click here to sign up via the website instead.”
• Unique Access Code: Enter the 6-digit Unique Access Code (different for each athlete) found in the Healthy Roster email invitation.
• Create New Account: Click “Next” and then select: “I need to create a new account.”
• Already have an account and are adding a new athlete? Use the same email address as your existing account. Your new athlete will be added automatically to your account. In the app, swipe left or right to switch between athletes.
• Follow the steps on the screen to finish setting up your account.
• Download the Healthy Roster App: Download the app from your phone’s App Store. Log in with the username and password you created for the web version. Use the authorization code sent to your email to finalize the app set up.

STEP 3. Complete all Healthy Roster Missing Documents (ALL ATHLETES)

• When prompted to Add Document, select the "Fill Online" box.
• PIAA Section 6 is the only document in Healthy Roster that cannot be completed electronically.
• Rejected Documents:  Submitted documents are reviewed and approved/rejected by the CD Athletic Trainers. If a form is rejected, it will show again under “Missing Documents.” An email from no-reply@notifications.healthyroster.com explaining why the document was rejected and what needs to be fixed will be sent to you. Make the requested corrections and resubmit the document for review. Athletes are not cleared until all required documents have been approved.

STEP 4. Obtain Physical by an Authorized Medical Examiner on PIAA Sec 6 form dated May 1st or after (ALL ATHLETES)

• PRINT: completed PIAA Section 5 (complete electronically first on Healthy Roster)
• PRINT: blank PIAA Section 6
• Take completed PIAA Section 5 Health History & Blank PIAA Section 6 to Physical Appointment
• Obtain Physical by Authorized Medical Examiner (MD, DO, PAC, CRNP, or SNP) on PIAA Sec 6 form
• PIAA Section 6 must be dated on or after May 1, 2026 for the 2026-27 school year.

HEALTHY ROSTER DOCUMENTS

When prompted to Add Document, select the "Fill Online" box. PIAA Section 6 is the only document in Healthy Roster that cannot be completed electronically.

CDSD Supplemental Form

PIAA Section 1: Personal & Emergency Information

• List student's allergies, health conditions and prescription medications with reason prescribed.

PIAA Section 2: Certification of Parent/Guardian

• Select the correct Signer Role (parent/guardian or student) in the Consent to Sign Box to match Signer Name.

PIAA Section 3: Understanding Risk of Concussion and Traumatic Brain Injury

PIAA Section 4: Understanding of Cardiac Arrest Symptoms and Warning Signs

PIAA Section 5: Health History

• Complete PIAA Section 5 electronically in Healthy Roster.
• Briefly explain all YES answers in space provided at bottom of PIAA Section 5 form.
• Select the correct Signer Role (parent/guardian or student) in the Consent to Sign Box to match Signer Name.
• Print the electronically completed PIAA Section 5 and bring to Physical Exam.

PIAA Section 6: Comprehensive Initial Pre-Participation Physical Examination

• Cannot be completed electronically.
• Must be completed by an Authorized Medical Examiner (MD, DO, PAC, CRNP, or SNP) on PIAA Section 6 form and dated on or after May 1, 2026 for the 2026-27 school year.
• Print blank Sec 6 and take to physical exam for physician to complete, sign and date.
• Parent/Guardian must upload completed and signed form to Healthy Roster.

PIAA Section 7: Re-Certification by Parent/Guardian

• Required for Winter and Spring athletes if Section 6 is dated more than six weeks prior to start of sports season.
• Must be completed no earlier than 6 weeks prior to the start of the sports seasons.
• If any questions are answered "YES," PIAA Section 8: Re-Certification by Licensed Physician must be completed. If all questions are answered "NO," further action is not needed after both student and parent sign the form.

CDSD Certain Medical Conditions Medication Form (Not Required for all athletes)

• Complete this form electronically ONLY if your student has been diagnosed with one of the following medical conditions: (1) Asthma requiring an Inhaler (2) Severe Allergic Reaction requiring an EpiPen (3) Type 1 Diabetes and/or (4) Epilepsy.
• To access form: Go to Healthy Roster Documents. Click ADD. Select CDSD Certain Medical Conditions Form from the "Select Document Type" drop-down menu. Select "Fill Online.

All CDSD and PIAA Sports Pre-Participation Paperwork must be submitted online through Healthy Roster. Paper documents will no longer be accepted.

Healthy Roster is a secure and private electronic medical records system that is HIPAA and FERPA compliant. Parents/Guardians of any student interested in trying out for a CDSD team must have a Healthy Roster Account. Healthy Roster requires a one-time free registration for Parents/Guardians. Accounts will stay active until the student graduates. Upon graduation, the account will automatically become inactive.

CDSD Athletic Trainers will use Healthy Roster to keep track of sports pre-participation paperwork, medical records, injuries, and doctor’s notes. Healthy Roster will make it easier and faster for Parents/Guardians to complete the CDSD and PIAA pre-participation forms online and for CDSD to make sure all athletes are cleared to participate.

All pre-participation paperwork must be completed and signed on or after May 1st per PIAA guidelines for the 2026-27 school year. Information cannot be edited once it has been submitted. Please double-check all information before moving to the next section. If you notice a mistake, contact Lisa Wawrzyniak, Central Dauphin Athletic Trainer, at lwawrzyniak@cdschools.org to have the document deleted. The document will then need to be completed and submitted again.

SPORTS PRE-PARTICIPATION REQUIREMENTS

STEP 1. Complete all Healthy Roster Missing Documents (ALL ATHLETES)

• When prompted to Add Document, select the "Fill Online" box.
• PIAA Section 6 is the only document in Healthy Roster that cannot be completed electronically.
• Rejected Documents:  Submitted documents are reviewed and approved/rejected by the CD Athletic Trainers. If a form is rejected, it will show again under “Missing Documents.” An email from no-reply@notifications.healthyroster.com explaining why the document was rejected and what needs to be fixed will be sent to you. Make the requested corrections and resubmit the document for review. Athletes are not cleared until all required documents have been approved.

STEP 2. Obtain Physical by an Authorized Medical Examiner on PIAA Sec 6 form dated May 1st or after (ALL ATHLETES)

• PRINT: completed PIAA Section 5 (complete electronically first on Healthy Roster)
• PRINT: blank PIAA Section 6
• Take completed PIAA Section 5 Health History & Blank PIAA Section 6 to Physical Appointment
• Obtain Physical by Authorized Medical Examiner (MD, DO, PAC, CRNP, or SNP) on PIAA Sec 6 form
• PIAA Section 6 must be dated on or after May 1, 2026 for the 2026-27 school year.

HEALTHY ROSTER DOCUMENTS

When prompted to Add Document, select the "Fill Online" box. PIAA Section 6 is the only document in Healthy Roster that cannot be completed electronically.

CDSD Supplemental Form

PIAA Section 1: Personal & Emergency Information

• List student's allergies, health conditions and prescription medications with reason prescribed.

PIAA Section 2: Certification of Parent/Guardian

• Select the correct Signer Role (parent/guardian or student) in the Consent to Sign Box to match Signer Name.

PIAA Section 3: Understanding Risk of Concussion and Traumatic Brain Injury

PIAA Section 4: Understanding of Cardiac Arrest Symptoms and Warning Signs

PIAA Section 5: Health History

• Complete PIAA Section 5 electronically in Healthy Roster.
• Briefly explain all YES answers in space provided at bottom of PIAA Section 5 form.
• Select the correct Signer Role (parent/guardian or student) in the Consent to Sign Box to match Signer Name.
• Print the electronically completed PIAA Section 5 and bring to Physical Exam.

PIAA Section 6: Comprehensive Initial Pre-Participation Physical Examination

• Cannot be completed electronically.
• Must be completed by an Authorized Medical Examiner (MD, DO, PAC, CRNP, or SNP) on PIAA Section 6 form and dated on or after May 1, 2026 for the 2026-27 school year.
• Print blank Sec 6 and take to physical exam for physician to complete, sign and date.
• Parent/Guardian must upload completed and signed form to Healthy Roster.

PIAA Section 7: Re-Certification by Parent/Guardian

• Required for Winter and Spring athletes if Section 6 is dated more than six weeks prior to start of sports season.
• Must be completed no earlier than 6 weeks prior to the start of the sports seasons.
• If any questions are answered "YES," PIAA Section 8: Re-Certification by Licensed Physician must be completed. If all questions are answered "NO," further action is not needed after both student and parent sign the form.

CDSD Certain Medical Conditions Medication Form (Not Required for all athletes)

• Complete this form electronically ONLY if your student has been diagnosed with one of the following medical conditions: (1) Asthma requiring an Inhaler (2) Severe Allergic Reaction requiring an EpiPen (3) Type 1 Diabetes and/or (4) Epilepsy.
• To access form: Go to Healthy Roster Documents. Click ADD. Select CDSD Certain Medical Conditions Form from the "Select Document Type" drop-down menu. Select "Fill Online.

• Football/Golf: August 3, 2026
• All Other Fall Sports: August 10, 2026
• Winter Sports: November 16, 2026
• Spring Sports: March 1, 2026
• Winter Recertification (Section 7): October 9, 2026
• Spring Recertification: (Section 7): January 25, 2027

Student-athletes who have been diagnosed with a concussion will be monitored daily by the CD Athletic Trainers and evaluated by the CD Team Physician. They will complete a "Symptom Score" sheet that includes 22 different signs and symptoms often experienced with concussions. Headache, dizziness, disruption of sleep, sensitivity to light and sound, as well as difficulty concentrating in school are among the most commonly recorded symptoms. School Accommodations will be provided after evaluation by CD's Team Physician if necessary. 

Although every concussion is unique and may heal differently, the typical return-to-sport time is about a week to 10 days from the time of injury. Our standard return to play protocol involves the following steps, each performed progressively with approximately 24 hours between each step.  If any concussion-like symptoms occur during a phase, it is immediately stopped and the Athletic Trainer will wait an appropriate amount of time before attempting this phase again.

Phase 1: Exertion (cardiovascular activity, such as bike, treadmill elliptical, in controlled environment)
Phase 2: No contact, sports-specific activities
Phase 3: Light contact, sports-specific activities/light practice (no live scrimmage)
Phase 4: Full contact, full practice, including live scrimmage
Phase 5: Return to game 

Athletic Trainers:

• Are highly qualified, multi-skilled health care professionals.
• Work under the supervision and in collaboration with a physician to optimize safe participation of athletes.
• Have at least a Bachelor's Degree in Athletic Training.
• Must pass a national certification exam to earn the ATC credential.
• Complete mandatory continuing education to keep skills current.
• Are Licensed under PA State Board of Medicine

Athletic Trainers are available after school to provide the following services:

• Assessment and diagnosis of injuries and illnesses to create effective treatment plans for athletes.
• Management of emergency situations which may arise during athletic practices and events.
• First aid, treatment and coordination of follow-up care if needed.
• Notification of parents regarding athletic injuries via phone, email or Healthy Roster.
• Therapeutic Intervention and rehabilitation of injuries to restore function.
• Injury Prevention and Wellness Promotion focused on safety, risk reduction, and proper techniques to avoid injury.