State law allows PE exemptions for medical illness.
2019 Alabama Course of Study: Physical Education
This document addresses adopting a policy concerning medical excused for non-participation in PE.
Alabama Course of Study: Physical Education Medical Excuses
Local school systems or schools are encouraged to adopt a policy concerning medical excuses for non-participation in physical education programs. Teachers who adopt their own policy should have approval from the administration. All excuses for exemption from physical education activities must be kept on file for two years and then properly disposed, either by shredding or by burning. Confidentiality when filing such papers is of utmost importance.