2023 New York Laws › EDN - Education › Title 4 - Teachers and Pupils › Article 65 - Compulsory Education and School Census › Part 1 - Compulsory Education › 3220 - Certificate of Physical Fitness.

§ 3220. Certificate  of physical fitness. 1. A certificate of physical
  fitness shall be issued to a minor if a  thorough  physical  examination
  made  within  twelve  months of his or her application for an employment
  certificate shows that such minor is of sound health, and if  there  are
  no known health problems at the time of issuance of the certificate, and
  if  the  applicant  is  physically qualified for lawful employment. If a
  known health problem exists at the time  of  the  application  for  such
  certificate,   another  examination  may  be  required  by  the  issuing
  authority.  Such  certificate  shall  be  issued   and   such   physical
  examination  shall  be  made,  in  a city of over three hundred thousand
  population, by a physician  designated  by  the  board  of  health,  and
  elsewhere  by  the  director  of school health services charged with the
  duty of making physical examinations of all school children  or  by  any
  physician  duly  licensed  to  practice  medicine  in  this state. A new
  certificate of physical fitness shall not be required if  one  had  been
  issued to the minor within twelve months.
2.  If  the  physician  authorized  to  issue certificates of physical
  fitness shall find that a minor from fourteen to eighteen years  of  age
  is  not  physically  sound but that in the physician's opinion the minor
  may safely engage in certain occupations as specified by the regulations
  of the commissioner of education, the physician shall require  a  pledge
  of  employment  and  may  issue  to  the  minor a certificate of limited
  physical fitness, and shall describe therein the physical disability  of
  the  minor and shall indicate the particular employer and the occupation
  in which the minor may engage. A limited employment  certificate  issued
  to  a  minor  from fourteen to eighteen years of age who has presented a
  certificate of limited physical fitness shall be valid for not more than
  six months from the date of its issuance and shall bear on the  face  of
  the  certificate  the date of its expiration and the particular employer
  and occupation  to  which  the  employment  of  the  minor  is  limited;
  provided,  however,  that  the examining physician may indicate upon the
  certificate of limited physical fitness that the physical disability  of
  the minor is of a permanent nature, in which case such certificate shall
  not  expire  at the end of six months but shall remain valid for so long
  as the nature and type of work set forth in  the  pledge  of  employment
  remain substantially the same.
3.  A  record  made  of  the physical examination shall show whether a
  certificate of physical fitness has been issued or withheld. Such record
  shall be sent to the certificating official.
4. A certificate of physical fitness issued  in  another  state  to  a
  minor  seeking  employment  in this state may be accepted in lieu of the
  certificate of physical fitness required  by  subdivision  one  of  this
  section,  provided  the  standards  for issuing such certificates in the
  other state are deemed substantially equivalent to those of  this  state
  in accordance with regulations adopted by the commissioner of education.