CLICK HERE FOR A SEASONAL FLU GUIDE FOR PARENTS

Health Services (Student)

100 - Health/Medical Information

100 - Health History
102 - Elementary Physical Exam Form
103 - "A" Form

104 - "B" Form
and
NYS Concussion Information

105 - Dental Health Report 109 - Confidential Health Concerns
110 - Pre-School Lead Screening Requirement

200 - Immunization Forms
200 - Immunization Record
202 - Immunization MMR#2 Requirement
203 - Immunization Chicken Pox Requirement
  204 - Immunization Tdap Requirement  

300 - Medication Forms
300 - NYS Guidelines for Administration of Medication
301 - Parent Authorization for Medication
302 - Physician's Order-Parent Authorization for Medication
303 - Self Medication Release Form

400 - Referral Forms
401 - Vision Referral
402 - Vision Referral Update
405 - Hearing Referral
407 - Scoliosis Referral


500 - Assistive Device Forms
501 - Guidelines for Protective/Assistive Devices
502 - Guidelines on Using Crutches

900 - Miscellaneous
904 - Elementary Health Office Numbers
905 - Release of Confidential Information
Department of Health Survey Parent Letter