JEFFERSON CITY HIGH SCHOOL is using an online electronic platform called Student Health Profile™, provided by PRIVIT Inc. The purpose of the Student Health Profile™ is to collect, store and update student medical information that is collected annually (and in some cases, up to four times per year). The Student Health Profile program replicates the information we routinely collect for students participating in activities at the school. Based on the same information as the current paper-based forms, The Student Health Profile™ replaces those paper forms with an online process for submitting and managing student medical information. The Student Health Profile™ is compliant with international privacy laws, including HIPPA and COPPA, ensuring your student's information is secure.
All athletes, cheerleaders, dancers, members of Marching Band and Show Choir are required to submit a COMPLETED Physical Form prior to participation. Per MSHSAA By-Laws a physical, with a doctor's signature, must be dated after 02/01/2018 to be valid for the 2018-2019 school year.
You may click on the PRIVIT link below to be taken to the PRIVIT website.
PRIVIT HELP CENTER: (844) 234 - 4357
Monday - Friday 7:00 AM - 4:00 PM CST
Additionally as part of the Physical Form parents/guardians and participants are required to sign that they have reviewed concussion related materials. The two links below provide the required information regarding concussions that should be reviewed prior to signing.
Following are the paper forms which are included in the online process.
Finally, we have provided a copy of the Lawrence E. Smith Supplemental Insurance Policy that all participants are required to have to participate in sports, Cheerleading, Dance, Marching Band and Show Choir.