AL SB110

Certified registered nurse practitioners and certified nurse midwives may sign physical examination forms for K-12 student athletic participation, with their endorsement legally equivalent to a physician's signature

Public K-12 schools are prohibited from membership in any athletic association that refuses to accept physical examination forms endorsed by these certified nursing professionals

The authority for nurse practitioners and nurse midwives to sign these forms requires an active collaboration agreement with a physician

Organizations or entities requesting a physician's signature must accept documents signed by qualified nurse practitioners or nurse midwives as valid and lawful

Effective date: October 1, 2026