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Health Services

At the North Shore Hebrew Academy, we are committed to keeping our students healthy and safe. Below is where you’ll find important school policies, referral forms, and health notices.

NSHA Nurse Contact Information:

CHERRY LANE (Grades PreK-5)                           OLD MILL ROAD (Grades 6-8)
Mrs. Mary Gochna, BSN, RN, CPN  Mrs. Swerdlin, R.N.
Email: mgochna@nsha.org  Email: BSwerdlin@nsha.org
Mrs. Gonzalez, Assistant to the Nurse
Email: lgonzalez@nsha.org
Tel: (516) 487-8687 Ext. 115  Tel: (516) 487-9163 Ext. 215
Direct Fax: (516) 487 – 5565  Fax: (516) 829-3933

Important Information

Meningococcal Vaccine Changes for the 2016-2017 School Year

LICE INFORMATION

SCHOOL POLICY

EXPOSURE NOTICE

INSTRUCTION SHEET FOR TREATMENT

Health/Medical Information (STUDENT)

100 Health History

110 Pre-School Lead Screening Requirement

104 "B" Form and NYS Concussion Information

103 "A" Form

102 Elementary Physical Exam Form

109 Confidential Health Concerns

105 Dental Health Report

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

503 Assistive Device Note – Parent

700 – Exposure Notices

710 Chicken Pox

711 Conjunctivitis

712 Coxsackie Virus

713 Fifth Disease

714 Impetigo

715 Shigellosis

716 Pediculosis

717 Streptococcal Infection

718 Scabies

900 – Miscellaneous

904 Elementary Health Office Numbers

905 Release of Confidential Information

Department of Health Survey Parent Letter

We are not just a school – we are a community.

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